NPIMap

Organization Active NPI

Ephrata Family Eye Care LLP

  • Optometrist
  • Ephrata, PA
National Provider Identifier
1164423869
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000376 OEG000476 Issued in PA
Legal business name
EPHRATA FAMILY EYE CARE LLP
Practice address
101 E Main St
Ephrata, PA 17522-2710
Phone
(717) 738-2488
Fax
(717) 721-9088
NPI assigned
Aug 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Authorized official

Name
Dr. Ronald J Bensing, ODNPI 1679532790
Title
Partner
Phone
(717) 738-2488

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OEG000376 OEG000476 PA Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

101 E Main St
Ephrata, PA 17522-2710

Mailing address

PO Box 699
101 E Main Street
Ephrata, PA 17522-0699
Phone (717) 738-2488

Other names 1

  • The Optic Shoppe Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040817000817 PA Part B Supplier - Clinic/Group Practice 6800869918 Receives reassigned benefits from 3 practitioners
Practice locations: Ephrata, PA

National Provider Directory

National Provider Directory

Locations

101 E Main St
Ephrata, PA 17522
Phone (717) 733-7467

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1164423869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 699",
            "address_2": "101 E MAIN STREET",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175220699",
            "telephone_number": "717-738-2488",
            "fax_number": "717-721-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E MAIN ST",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222710",
            "telephone_number": "717-738-2488",
            "fax_number": "717-721-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPHRATA FAMILY EYE CARE LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "BENSING",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "717-738-2488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000376 OEG000476",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Optic Shoppe",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ephrata, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.