Active NPI
Newtown Laser and Eye Institute
- Ophthalmology Physician
- Langhorne, PA
National Provider Identifier
1215980222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- NEWTOWN LASER AND EYE INSTITUTE
- Practice address
- 409 Executive Dr
Langhorne, PA 19047-8003 - Phone
- (215) 860-3400
- Fax
- (215) 860-8779
- NPI assigned
- May 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Guy Scott Mullin, M.D.
- Title
- President
- Phone
- (215) 860-3400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
409 Executive Dr
Langhorne, PA 19047-8003
Mailing address
409 Executive Dr
Langhorne, PA 19047-8003
Phone (215) 860-3400
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 575910 | Other | PA | BC/BS |
| DA1790 | Other | NJ | RAILROAD MEDICARE |
| 2129761 | Other | PA | AETNA |
| 5224761 | Other | NJ | AETNA |
| 0366355000 | Other | PA | KEYSTONE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
414 Executive Dr
Langhorne, PA 19047
Phone (215) 860-3400
409 Executive Dr
Langhorne, PA 19047
Phone (215) 860-3400
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Langhorne, PA
- NPI 1285680157
-
- Optometrist
- Langhorne, PA
- NPI 1851344972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1480550400000",
"number": "1215980222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 EXECUTIVE DR",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190478003",
"telephone_number": "215-860-3400",
"fax_number": "215-860-8779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 EXECUTIVE DR",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190478003",
"telephone_number": "215-860-3400",
"fax_number": "215-860-8779"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEWTOWN LASER AND EYE INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-19",
"last_updated": "2016-12-01",
"status": "A",
"authorized_official_last_name": "MULLIN",
"authorized_official_first_name": "GUY",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "215-860-3400",
"authorized_official_credential": "M.D."
},
"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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "575910",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DA1790",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2129761",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5224761",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "0366355000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Langhorne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.