Individual provider Active NPI

John Thomas Ochsenreither, O.D.

  • Optometrist
  • Doylestown, PA
National Provider Identifier
1205040409
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG0010000 Issued in PA
Practice address
5175 Cold Spring Creamery Rd
Doylestown, PA 18901-6228
Phone
(215) 489-4080
Fax
(215) 489-2660
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG0010000 PA Primary

Addresses

Primary practice location

5175 Cold Spring Creamery Rd
Doylestown, PA 18901-6228

Mailing address

137 Watercrest Dr
Doylestown, PA 18901-3267
Phone (215) 489-4080

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
I20210225002206 PA Practitioner - Optometry 3173781747 Practice locations: Doylestown, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG0010000PAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205040409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 WATERCREST DR",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189013267",
            "telephone_number": "215-489-4080",
            "fax_number": "215-489-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5175 COLD SPRING CREAMERY RD",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189016228",
            "telephone_number": "215-489-4080",
            "fax_number": "215-489-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCHSENREITHER",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG0010000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.