NPIMap

Organization Active NPI

Keystone Eye Associates, LLC

  • Ophthalmology Physician
  • Philadelphia, PA
National Provider Identifier
1194779207
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
KEYSTONE EYE ASSOCIATES, LLC
Practice address
9126 Blue Grass Rd
Philadelphia, PA 19114-3202
Phone
(215) 331-4141
Fax
(215) 338-0167
NPI assigned
May 22, 2006
Last updated
Jan 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Authorized official

Name
Mrs. Jennifer Rispo-Maguire
Title
Business Manager
Phone
(215) 552-8332

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

9126 Blue Grass Rd
Philadelphia, PA 19114-3202

Mailing address

9126 Blue Grass Rd
Philadelphia, PA 19114-3202
Phone (215) 331-4141

National Provider Directory

National Provider Directory

Locations

2314 E York St
Fl 1
Philadelphia, PA 19125
Phone (215) 291-2194

401 W Allegheny Ave
#55
Philadelphia, PA 19133

6409 Rising Sun Ave
Philadelphia, PA 19111
Phone (215) 725-9700

Practitioners & affiliated clinicians

Practitioners 11

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": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1194779207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9126 BLUE GRASS RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191143202",
            "telephone_number": "215-331-4141",
            "fax_number": "215-338-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9126 BLUE GRASS RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191143202",
            "telephone_number": "215-331-4141",
            "fax_number": "215-338-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE EYE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "RISPO-MAGUIRE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "215-552-8332",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.