Individual provider Active NPI

Delbert C Ritchey Jr., O.D.

  • Optometrist
  • Philadelphia, PA
National Provider Identifier
1194878520
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000741 Issued in PA
Practice address
1528 Walnut St
Pearle Vision
Philadelphia, PA 19102-3604
Phone
(215) 732-7622
Fax
(215) 732-7626
NPI assigned
Jan 19, 2007
Last updated
Jun 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000741 PA Primary

Addresses

Primary practice location

1528 Walnut St
Pearle Vision
Philadelphia, PA 19102-3604

Mailing address

1528 Walnut St
Pearle Vision
Philadelphia, PA 19102-3604
Phone (215) 732-7622

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
I20081204000057 PA Practitioner - Optometry 5092876417 Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000741PAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1194878520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 WALNUT ST",
            "address_2": "PEARLE VISION",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023604",
            "telephone_number": "215-732-7622",
            "fax_number": "215-732-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 WALNUT ST",
            "address_2": "PEARLE VISION",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023604",
            "telephone_number": "215-732-7622",
            "fax_number": "215-732-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITCHEY",
        "first_name": "DELBERT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.