Justin Teich, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG002294 Issued in PA

Practice address

641 Swedesford Rd
Malvern, PA 19355-1530

Phone

(484) 534-8600

NPI assigned

Jul 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

96.88 of 100Reported as group

Quality

73.37

Promoting interoperability

100

Improvement activities

40

Cost

82.88

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: justin.teich.p10@direct.360care.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Onsight Health Care LLC

  • Optometrist
  • Harrisburg, PA
  • NPI 1508097411
  Medicare reassignment NPD
• Feltz Optometry of PA LLC

  • Optometrist
  • Baltimore, MD
  • NPI 1770099327

  PA

  Medicare reassignment NPD
• Onsight Health Care LLC

  • Gerontology Clinical Nurse Specialist
  • Harrisburg, PA
  • NPI 1003122458
  NPD
• Onsight Health Care, LLC

  • Audiologist
  • Beaver, PA
  • NPI 1932330115
  NPD

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381104000000",
    "number": "1114125358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SURREY WAY",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411639",
            "telephone_number": "484-534-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 SWEDESFORD RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551530",
            "telephone_number": "484-534-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEICH",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2013-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Bivona Tankel, MSS, LCSW, CAADC
• Eric Tankel, M.S.ED., CAADC, LPC
• Rebecca Anne Tavangar
• Jennifer Taylor, PSY.D.
• Maura Tehrani Henderson, DPT
• Pushpa T. Thakarar, M.D.
• Elizabeth Ann Thayne, DPT
• The Devereux Foundation
• The Devereux Foundation
• The Devereux Foundation

• Optometrist in Malvern, PA
• Providers in Malvern, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.