Neuro-Ophthalmologic Associates PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

NEURO-OPHTHALMOLOGIC ASSOCIATES PC

Practice address

840 Walnut St
Suite 930
Philadelphia, PA 19107-5109

Phone

(215) 928-3130

Fax

(215) 592-1923

NPI assigned

Jul 19, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert Charles Sergott, MD

Title

President

Phone

(215) 928-3130

Specialties & licenses 2

Addresses

Other identifiers 5

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Esther Rose Bisker, MD

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1457589756
  NPD (past)
• Robert A Gladnick, OD

  • Optometrist
  • Lansdale, PA
  • NPI 1700885969
  NPD (past)
• Jennifer K Hall, MD

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1992813349
  NPD (past)
• Chrystyna Rakoczy, OD

  • Optometrist
  • Philadelphia, PA
  • NPI 1750349973
  NPD (past)
• Peter Joseph Savino, MD

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1467451898
  NPD (past)
• Tim Inchul Kim, M.D.

  • Neuro-ophthalmology Physician
  • San Diego, CA
  • NPI 1932306925
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497484800000",
    "number": "1093714420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 WALNUT ST",
            "address_2": "SUITE 930",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075109",
            "telephone_number": "215-928-3130",
            "fax_number": "215-592-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 WALNUT ST",
            "address_2": "SUITE 930",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075109",
            "telephone_number": "215-928-3130",
            "fax_number": "215-592-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO-OPHTHALMOLOGIC ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2017-06-15",
        "status": "A",
        "authorized_official_last_name": "SERGOTT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-928-3130",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD031030L",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000252102",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000688737",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0060163000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "039391",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3528804",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Neumann, DO
• Sulabh Neupane
• Neupath Physical Therapy LLC
• Neuro Dynamics Penn
• Neuro Source Diagnostics, Inc
• Neurodynamix Testing and Therapy Solutions PLLC
• Neuroflow
• Neurology and Neurophysiology Associates, P.C.
• Neurology Associates LTD
• Neurology Center of Philadelphia Inc.

• Ophthalmology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.