Organization Active NPI

Eye Store-Shoppe LLC

  • Eyewear Supplier
  • Collegeville, PA
National Provider Identifier
1235383498
Registry record updated Oct 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
EYE STORE-SHOPPE LLC
Practice address
222 E Main St Ste 114
Collegeville Shopping Center
Collegeville, PA 19426-2650
Phone
(610) 489-4100
Fax
(610) 489-8458
NPI assigned
Nov 13, 2008
Last updated
Oct 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2010

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

Authorized official

Name
Jeffrey Kehr
Title
Owner
Phone
(610) 489-4100

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary
Optometrist 152W00000X NU
Optician 156FX1800X NU

Addresses

Primary practice location

222 E Main St Ste 114
Collegeville Shopping Center
Collegeville, PA 19426-2650

Mailing address

222 E Main St Ste 114
Collegeville Shopping Center
Collegeville, PA 19426-2650
Phone (610) 489-4100

Other names 1

  • JEFFREY KEHR SOLE MBR Other name

National Provider Directory

National Provider Directory

Locations

222 E Main St
Ste 114
Collegeville, PA 19426
Phone (610) 489-4100

1650 Limekiln Pike
Ste B18
Dresher, PA 19025
Phone (215) 628-3777

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1235383498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E MAIN ST STE 114",
            "address_2": "COLLEGEVILLE SHOPPING CENTER",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194262650",
            "telephone_number": "610-489-4100",
            "fax_number": "610-489-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E MAIN ST STE 114",
            "address_2": "COLLEGEVILLE SHOPPING CENTER",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194262650",
            "telephone_number": "610-489-4100",
            "fax_number": "610-489-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE STORE-SHOPPE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-13",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "KEHR",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-489-4100"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JEFFREY KEHR SOLE MBR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Collegeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.