Active NPI
Chelise Firmin, O.D.
- Optometrist
- Philadelphia, PA
National Provider Identifier
1245235035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OET008924
- Practice address
- 7016 Old York Rd
Philadelphia, PA 19126-2111 - Phone
- (215) 254-0092
- NPI assigned
- Jun 17, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OET008924 | PA | Primary |
Addresses
Primary practice location
7016 Old York Rd
Philadelphia, PA 19126-2111
Mailing address
7016 Old York Rd
Philadelphia, PA 19126
Phone (215) 254-0092
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245235035 | Other | PA | MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6331 Stenton Ave
Philadelphia, PA 19138-1129
Phone (215) 548-5949
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Vivant Safety Eyewear Company Inc | Current | Accepting new patients | |
| Residency Eye Care | Optometrist | Current | Accepting new patients |
| Senior Eye Associates SC | Optometrist | Past | Accepting new patients |
Locations
6331 Stenton Ave
Philadelphia, PA 19138
Phone (215) 548-5949
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Philadelphia, PA
- NPI 1053671016
-
- Eyewear Supplier
- Elkins Park, PA
- NPI 1578331740
-
- Optometrist
- Chicago, IL
- NPI 1316088305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314662400000",
"number": "1245235035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7016 OLD YORK RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19126",
"telephone_number": "215-254-0092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7016 OLD YORK RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191262111",
"telephone_number": "215-254-0092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIRMIN",
"first_name": "CHELISE",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-17",
"last_updated": "2011-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OET008924",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "1245235035",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.