Individual provider Active NPI

Manpreet Bains, OD

  • Optometrist
  • Bala Cynwyd, PA
National Provider Identifier
1194249581
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003314 Issued in PA
Practice address
100 Presidential Blvd Ste 200
Bala Cynwyd, PA 19004-1108
Phone
(484) 434-2700
NPI assigned
Jul 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003314 PA Primary

Addresses

Primary practice location

100 Presidential Blvd Ste 200
Bala Cynwyd, PA 19004-1108

Mailing address

100 Presidential Blvd Ste 200
Bala Cynwyd, PA 19004-1108
Phone (484) 434-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180514000188 PA Practitioner - Optometry 4587938451 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003314PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc CurrentSince Oct 2, 2023 Accepting new patients
Ophthalmic Partners PC Optometrist CurrentSince Jul 29, 2022 Accepting new patients
The Elder Eye Care Group, Inc Optometrist CurrentSince Mar 20, 2018 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Oct 2, 2023 Accepting new patients

Locations

100 Presidential Blvd
Ste 200
Bala Cynwyd, PA 19004
Phone (484) 434-2700

560 Millcreek Mall
Erie, PA 16565
Phone (814) 868-8540

2944 Conestoga Rd
Unit D4
Glenmoore, PA 19343
Phone (610) 458-7171

2300 E Lincoln Hwy
Langhorne, PA 19047
Phone (215) 750-3760

840 Walnut St
Ste 1210
Philadelphia, PA 19107
Phone (215) 928-3240

501 Kimberton Rd
Phoenixville, PA 19460
Phone (610) 917-9999

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1194249581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PRESIDENTIAL BLVD STE 200",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041108",
            "telephone_number": "484-434-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PRESIDENTIAL BLVD STE 200",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041108",
            "telephone_number": "484-434-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAINS",
        "first_name": "MANPREET",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

Verify at the official NPI Registry.