Organization Active NPI

Eyeshade Shoppe Inc

  • Optician
  • Elkins Park, PA
National Provider Identifier
1124196522
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
EYESHADE SHOPPE INC
Practice address
135 Yorktown PLZ
Elkins Park, PA 19027-1420
Phone
(215) 886-3333
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Stanley Lieberman
Title
President
Phone
(215) 938-0999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

135 Yorktown PLZ
Elkins Park, PA 19027-1420

Mailing address

2381 Philmont Ave
Suite 111
Huntingdon Valley, PA 19006-6236
Phone (215) 938-0999

Other names 1

  • SUNRISE OPTICAL Doing business as

National Provider Directory

National Provider Directory

Locations

135 Yorktown Plz
Elkins Park, PA 19027
Phone (215) 886-3333

2381 Philmont Ave
Ste 111
Huntingdon Valley, PA 19006

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124196522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2381 PHILMONT AVE",
            "address_2": "SUITE 111",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066236",
            "telephone_number": "215-938-0999",
            "fax_number": "215-938-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 YORKTOWN PLZ",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271420",
            "telephone_number": "215-886-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYESHADE SHOPPE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-938-0999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNRISE OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elkins Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.