Active NPI
Fox Optical & Gallery LLC
- Optometrist
- Bethlehem, PA
National Provider Identifier
1174884944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OE006575P
- Legal business name
- FOX OPTICAL & GALLERY LLC
- Practice address
- 28 E 3Rd St
Bethlehem, PA 18015-1304 - Phone
- (610) 332-2400
- Fax
- (610) 332-2402
- NPI assigned
- Jun 7, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy Wynn Fox, O.D.
- Title
- Owner
- Phone
- (610) 332-2400
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OE006575P | PA | Primary |
Addresses
Primary practice location
28 E 3Rd St
Bethlehem, PA 18015-1304
Mailing address
28 E 3Rd St
Bethlehem, PA 18015-1304
Phone (610) 332-2400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
28 E 3rd St
Bethlehem, PA 18015
Phone (610) 332-2044
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Bethlehem, PA
- NPI 1851442107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339027200000",
"number": "1174884944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 E 3RD ST",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180151304",
"telephone_number": "610-332-2400",
"fax_number": "610-332-2402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 E 3RD ST",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180151304",
"telephone_number": "610-332-2400",
"fax_number": "610-332-2402"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOX OPTICAL & GALLERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-07",
"last_updated": "2012-06-07",
"status": "A",
"authorized_official_last_name": "FOX",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "WYNN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "610-332-2400",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "PA",
"license": "OE006575P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.