NPIMap

Organization Active NPI

Optometric Eyecare Center

  • Optometrist
  • Fairless Hills, PA
National Provider Identifier
1235223207
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OPTOMETRIC EYECARE CENTER
Practice address
333 Oxford Valley Rd
Ste 101
Fairless Hills, PA 19030
Phone
(215) 945-3535
Fax
(215) 943-0157
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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

Authorized official

Name
Dr. William Byrne, O.D.NPI 1881730828
Title
Owner
Phone
(215) 945-3535

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

333 Oxford Valley Rd
Ste 101
Fairless Hills, PA 19030

Mailing address

333 Oxford Valley Rd
Ste 101
Fairless Hills, PA 19030
Phone (215) 945-3535

Other identifiers 1

IdentifierTypeStateIssuer
107595MedicaidPA

Other names 1

  • Optometric Eyecare Center Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090427000055 PA Part B Supplier - Clinic/Group Practice 0648328989 Receives reassigned benefits from 1 practitioner
Practice locations: Fairless Hills, PA

National Provider Directory

National Provider Directory

Locations

333 N Oxford Valley Rd
Ste 101
Fairless Hls, PA 19030
Phone (215) 945-3535

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1235223207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 OXFORD VALLEY RD",
            "address_2": "STE 101",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "19030",
            "telephone_number": "215-945-3535",
            "fax_number": "215-943-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 OXFORD VALLEY RD",
            "address_2": "STE 101",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "19030",
            "telephone_number": "215-945-3535",
            "fax_number": "215-943-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIC EYECARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "BYRNE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-945-3535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107595",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optometric Eyecare Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fairless Hills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.