Organization Active NPI

Savochka Eye Associates, LLC

  • Optometrist
  • Frazer, PA
National Provider Identifier
1124371620
Registry record updated Oct 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG 00132300 Issued in PA
Legal business name
SAVOCHKA EYE ASSOCIATES, LLC
Practice address
215 Lancaster Ave Ste F5
Lincoln Court Shopping Center
Frazer, PA 19355-1874
Phone
(609) 760-8079
NPI assigned
Oct 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2012

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

Authorized official

Name
Dr. Jason Michael Savochka, O.D.NPI 1598856742
Title
Owner
Phone
(609) 760-8079

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG 00132300 PA Primary

Addresses

Primary practice location

215 Lancaster Ave Ste F5
Lincoln Court Shopping Center
Frazer, PA 19355-1874

Mailing address

4128 Crescent Dr
Chester Springs, PA 19425-3912
Phone (609) 760-8079

Other identifiers 1

IdentifierTypeStateIssuer
10257772570001MedicaidPA

Other names 1

  • Pinnacle Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140918000618 PA Part B Supplier - Clinic/Group Practice 2668691916 Receives reassigned benefits from 2 practitioners
Practice locations: Frazer, PA

National Provider Directory

National Provider Directory

Locations

215 Lancaster Ave
Ste F5
Malvern, PA 19355
Phone (484) 318-7851

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1350777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350777600000",
    "number": "1124371620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4128 CRESCENT DR",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "194253912",
            "telephone_number": "609-760-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 LANCASTER AVE STE F5",
            "address_2": "LINCOLN COURT SHOPPING CENTER",
            "city": "FRAZER",
            "state": "PA",
            "postal_code": "193551874",
            "telephone_number": "609-760-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVOCHKA EYE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-21",
        "last_updated": "2012-10-21",
        "status": "A",
        "authorized_official_last_name": "SAVOCHKA",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-760-8079",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG 00132300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10257772570001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frazer, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2012; 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.