NPIMap

Organization Active NPI

Elmwood Eye, P.C.

  • Ophthalmology Physician
  • York, PA
National Provider Identifier
1104384130
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ELMWOOD EYE, P.C.
Practice address
1601 2ND Ave
York, PA 17403-1940
Phone
(717) 848-2520
Fax
(717) 846-2861
NPI assigned
Mar 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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

Authorized official

Name
Dr. Denise Lee Kerchner, MDNPI 1053546317
Title
Physician
Phone
(717) 848-2520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1601 2ND Ave
York, PA 17403-1940

Mailing address

1601 2ND Ave
York, PA 17403-1940
Phone (717) 848-2520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200302000012 PA Part B Supplier - Clinic/Group Practice 5597192625 Receives reassigned benefits from 4 practitioners
Practice locations: Hanover, PA; York, PA

National Provider Directory

National Provider Directory

Locations

3130 Grandview Rd
Ste 101
Hanover, PA 17331

1601 2nd Ave
York, PA 17403
Phone (717) 843-2520

1601 2nd Ave
Ste 101
York, PA 17403

Practitioners & affiliated clinicians

Practitioners 67

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

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552003200000",
    "number": "1104384130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 2ND AVE",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174031940",
            "telephone_number": "717-848-2520",
            "fax_number": "717-846-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 2ND AVE",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174031940",
            "telephone_number": "717-848-2520",
            "fax_number": "717-846-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMWOOD EYE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-03-08",
        "status": "A",
        "authorized_official_last_name": "KERCHNER",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "717-848-2520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.