Organization Active NPI

Chester County Eye Care Associates, PC

  • Ophthalmology Physician
  • Kennett Square, PA
National Provider Identifier
1154486116
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CHESTER COUNTY EYE CARE ASSOCIATES, PC
Practice address
400 McFarlan Rd
BLDG. 1, Suite 3
Kennett Square, PA 19348-2477
Phone
(484) 723-2034
Fax
(610) 918-0803
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Bruce R. Saran
Title
MD
Phone
(610) 444-8075

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X PA
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X PA Primary

Addresses

Primary practice location

400 McFarlan Rd
BLDG. 1, Suite 3
Kennett Square, PA 19348-2477

Mailing address

400 McFarlan Rd
BLDG. 1, Suite 3
Kennett Square, PA 19348-2477
Phone (484) 723-2034

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040210000327 PA Part B Supplier - Clinic/Group Practice 3375437502 Receives reassigned benefits from 19 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Exton, PA; West Grove, PA; West Chester, PA; Malvern, PA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

400 McFarlan Rd
Bldg 1
Kennett Square, PA 19348
Phone (484) 723-2034

Practitioners & affiliated clinicians

Practitioners 2

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": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1154486116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MCFARLAN RD",
            "address_2": "BLDG. 1, SUITE 3",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193482477",
            "telephone_number": "484-723-2034",
            "fax_number": "610-918-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MCFARLAN RD",
            "address_2": "BLDG. 1, SUITE 3",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193482477",
            "telephone_number": "484-723-2034",
            "fax_number": "610-918-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTER COUNTY EYE CARE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "SARAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "610-444-8075"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennett Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.