Organization Active NPI

Vision Care Specialists Inc

  • Optometrist
  • Quakertown, PA
National Provider Identifier
1164477907
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISION CARE SPECIALISTS INC
Practice address
361 S 11TH St
Quakertown, PA 18951-1414
Phone
(215) 536-8540
Fax
(215) 536-8117
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Gail Cadwallader
Title
Office MGR.
Phone
(215) 536-8540

Specialties & licenses 1

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

Addresses

Primary practice location

361 S 11TH St
Quakertown, PA 18951-1414

Mailing address

361 S 11TH St
Quakertown, PA 18951-1414
Phone (215) 536-8540

Other identifiers 2

IdentifierTypeStateIssuer
0652912000OtherPAINDEPENDENCE BLUE CROSS
VI388885OtherPAHIGHMARK BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080516000216 PA Part B Supplier - Clinic/Group Practice 3375612369 Receives reassigned benefits from 2 practitioners
Practice locations: Quakertown, PA

National Provider Directory

National Provider Directory

Locations

134 Mill Rd
Ste 1
Quakertown, PA 18951
Phone (215) 536-8540

134 Mill Rd
Quakertown, PA 18951

361 S 11th St
Quakertown, PA 18951
Phone (215) 536-8540

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": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1164477907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 S 11TH ST",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511414",
            "telephone_number": "215-536-8540",
            "fax_number": "215-536-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 S 11TH ST",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511414",
            "telephone_number": "215-536-8540",
            "fax_number": "215-536-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CARE SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "CADWALLADER",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "OFFICE MGR.",
        "authorized_official_telephone_number": "215-536-8540"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0652912000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "VI388885",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quakertown, PA

Sources for this page

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