Charles W Popivchak Jr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OE004329P Issued in PA

Practice address

10 W Oakland Ave
Doylestown, PA 18901-4209

Phone

(215) 348-5328

Fax

(215) 345-8516

NPI assigned

May 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Altemus Family Eye Care PLLC

  • Optometrist
  • Doylestown, PA
  • NPI 1922785229
  NPD (past)
• JB Popivchak Inc

  dba Wetherill Opticians Inc

  • Eyewear Supplier
  • Doylestown, PA
  • NPI 1407901655
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164630067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W OAKLAND AVE",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189014209",
            "telephone_number": "215-348-5328",
            "fax_number": "215-345-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W OAKLAND AVE",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189014209",
            "telephone_number": "215-348-5328",
            "fax_number": "215-345-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPIVCHAK",
        "first_name": "CHARLES",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE004329P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0512199",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS",
            "identifier": "36857",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Poleshuk, DPT
• Brian S Polesuk, MD
• Tina Poley, OTR/L
• Jessica Pollner, LCSW
• Maya Louise Ponte, M.D.
• Roxanne Popple, PSY. D.
• Elizabeth Porreca
• Nancy M Portner, CRNA
• Nicholls Alexander Posada, LPC
• Positive Behavior Supports Corporation

• Optometrist in Doylestown, PA
• Providers in Doylestown, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.