Organization Active NPI

Society Hill Ophthalmic Associates PC

  • Ophthalmology Physician
  • Phila, PA
National Provider Identifier
1184637670
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SOCIETY HILL OPHTHALMIC ASSOCIATES PC
Practice address
700 Spruce Street
Suite 100
Phila, PA 19106
Phone
(215) 829-5311
Fax
(215) 829-3091
NPI assigned
Aug 14, 2006
Last updated
Nov 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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

Authorized official

Name
Stephen M Goldman, MDNPI 1982698619
Title
President
Phone
(215) 829-5488

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

700 Spruce Street
Suite 100
Phila, PA 19106

Mailing address

700 Spruce Street
Suite 100
Phila, PA 19106
Phone (215) 829-5311

Other names 1

  • Karp Goldman Eye Associates Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031126000226 PA Part B Supplier - Clinic/Group Practice 9830093277 Receives reassigned benefits from 3 practitioners
Practice locations: Philadelphia, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2055587Society Hill Ophthalmic Associates700 Spruce Street Suite 100, Philadelphia, PA 19106Certificate of waiverMar 13, 2027

National Provider Directory

National Provider Directory

Locations

700 Spruce St
Ste 100
Philadelphia, PA 19106
Phone (215) 829-5311

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": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1184637670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SPRUCE STREET",
            "address_2": "SUITE 100",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "19106",
            "telephone_number": "215-829-5311",
            "fax_number": "215-829-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SPRUCE STREET",
            "address_2": "SUITE 100",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "19106",
            "telephone_number": "215-829-5311",
            "fax_number": "215-829-3091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIETY HILL OPHTHALMIC ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-829-5488",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Karp Goldman Eye Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.