Individual provider Active NPI

Soshella Jalaluddin, O.D.

  • Optometrist
  • Abington, PA
National Provider Identifier
1154358489
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000397 Issued in PA
Practice address
2154 Wayne Ave
Abington, PA 19001-2515
Phone
(215) 887-7574
NPI assigned
Jun 26, 2006
Last updated
Jun 24, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000397 PA Primary

Addresses

Primary practice location

2154 Wayne Ave
Abington, PA 19001-2515

Mailing address

2154 Wayne Ave
Abington, PA 19001-2515

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
I20051020000076 PA Practitioner - Optometry 9830115823 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000397PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Oct 4, 2021 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Oct 4, 2021 Accepting new patients

Locations

453 S Oxford Valley Rd
Fairless Hills, PA 19030
Phone (215) 547-5470

2842 S Eagle Rd
Newtown, PA 18940
Phone (215) 579-1155

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1154358489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2154 WAYNE AVE",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190012515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2154 WAYNE AVE",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190012515",
            "telephone_number": "215-887-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALALUDDIN",
        "first_name": "SOSHELLA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, PA

Sources for this page

Verify at the official NPI Registry.