Advanced Eye of Nepa LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD438121 Issued in PA

Legal business name

ADVANCED EYE OF NEPA LLC

Practice address

541 W Bacon St
Pottsville, PA 17901-3917

Phone

(570) 580-4084

Fax

(570) 580-4842

NPI assigned

Jun 20, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Sachin Patel, MDNPI 1992886758

Title

Owner

Phone

(570) 604-3276

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sachin B Patel, MD

  • Retina Specialist (Ophthalmology) Physician
  • Pottsville, PA
  • NPI 1992886758

  PA

  Medicare reassignment NPD Authorized official
• Edward L Murray, DPM

  • Podiatrist
  • Honesdale, PA
  • NPI 1588689681
  NPD (past)

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

{
    "created_epoch": "1276992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1205157609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CHATHAM HILL CIR",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184118795",
            "telephone_number": "570-604-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 W BACON ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013917",
            "telephone_number": "570-580-4084",
            "fax_number": "570-580-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED EYE OF NEPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-20",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SACHIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-604-3276",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD438121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "MD438121",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Pottsville, PA
• Providers in Pottsville, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.