Individual provider Active NPI

Christopher James Pentes, OD

  • Optometrist
  • North Wales, PA
National Provider Identifier
1144955469
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003935 Issued in PA
Practice address
1460 Bethlehem Pike Ste 230
North Wales, PA 19454-2102
Phone
(215) 631-8996
Fax
(445) 544-9189
NPI assigned
Jul 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003935 PA Primary

Addresses

Primary practice location

1460 Bethlehem Pike Ste 230
North Wales, PA 19454-2102

Mailing address

1460 Bethlehem Pike Ste 230
North Wales, PA 19454-2102
Phone (215) 631-8996

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220906001623 PA Practitioner - Optometry 2769866045 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gretchen J Brewer OD and Associates IncGroup PAC ID 3173561255, 7 clinicians
Alpha Optical Doylestown, LLCGroup PAC ID 2567719727, 4 clinicians

Practice addresses (Care Compare)

101 Montgomery Mall
North Wales, PA 19454-3903
Phone (215) 361-2400

73 Old Dublin Pike
Suite 13C
Doylestown, PA 18901-2491
Phone (215) 230-4060

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gretchen J Brewer, OD & Associates, Inc Optometrist CurrentSince Jul 25, 2022 Accepting new patients
Alpha Optical Doylestown, LLC Optometrist CurrentSince Jul 25, 2022 Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

73 Old Dublin Pike
Ste 13C
Doylestown, PA 18901
Phone (215) 230-4060

1460 Bethlehem Pike
Ste 230
North Wales, PA 19454
Phone (215) 631-8996

1460 Bethlehem Pike
Ste 230B
North Wales, PA 19454
Phone (215) 361-2100

101 Montgomery Mall
North Wales, PA 19454
Phone (215) 361-2400

101 Montgomery Mall
#J
North Wales, PA 19454
Phone (215) 361-2400

1460 Bethlehem Pike
North Wales, PA 19454

2329 Cottman Ave
Philadelphia, PA 19149
Phone (215) 332-7228

2329 Cottman Ave
#J
Philadelphia, PA 19149
Phone (215) 332-7228

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1144955469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 BETHLEHEM PIKE STE 230",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194542102",
            "telephone_number": "215-631-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 BETHLEHEM PIKE STE 230",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194542102",
            "telephone_number": "215-631-8996",
            "fax_number": "445-544-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENTES",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAMES",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-20",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wales, PA

Sources for this page

Verify at the official NPI Registry.