Active NPI
Ophthalmic Partners PC
- Ophthalmology Physician
- Bala Cynwyd, PA
National Provider Identifier
1114531688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- OPHTHALMIC PARTNERS PC
- Practice address
- 100 Presidential Blvd Ste 200
Bala Cynwyd, PA 19004-1108 - Phone
- (484) 434-2700
- Fax
- (610) 660-0419
- NPI assigned
- Sep 2, 2020
- Last updated
- Sep 2, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy Baker
- Title
- Administrator
- Phone
- (484) 434-2700
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
100 Presidential Blvd Ste 200
Bala Cynwyd, PA 19004-1108
Mailing address
100 Presidential Blvd Ste 200
Bala Cynwyd, PA 19004-1108
Phone (484) 434-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
Enrollment records 2
National Provider Directory
National Provider Directory- Tax ID family
- Ophthalmic Partners PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ophthalmology Physician
- Marlton, NJ
- NPI 1538761382
Locations
100 Presidential Blvd
Ste 150
Bala Cynwyd, PA 19004
913 Walnut St
Ste 200
Philadelphia, PA 19107
Practitioners & affiliated clinicians
Practitioners 41
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Bala Cynwyd, PA
- NPI 1174182950
-
- Ophthalmology Physician
- Bala Cynwyd, PA
- NPI 1093789679
-
- Ophthalmology Physician
- Bala Cynwyd, PA
- NPI 1730153024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599004800000",
"number": "1114531688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PRESIDENTIAL BLVD STE 200",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041108",
"telephone_number": "484-434-2700",
"fax_number": "610-660-0419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PRESIDENTIAL BLVD STE 200",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041108",
"telephone_number": "484-434-2700",
"fax_number": "610-660-0419"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPHTHALMIC PARTNERS PC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-02",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "484-434-2700"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bala Cynwyd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.