Active NPI
Amedco Pennsylvania LLC
Doing business as Pennsylvania Retina Center-Bethlehem
- Ophthalmology Physician
- Bethlehem, PA
National Provider Identifier
1245575208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- AMEDCO PENNSYLVANIA LLC
- Doing business as
- Pennsylvania Retina Center-Bethlehem
- Practice address
- 2045 Westgate Dr
#201
Bethlehem, PA 18017-7480 - Phone
- (610) 272-1644
- Fax
- (610) 272-3210
- NPI assigned
- Dec 3, 2012
- Last updated
- Dec 3, 2012
- 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
- Erica Perreira
- Title
- Chief Operating Officer
- Phone
- (877) 881-0022
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | PA | Primary |
Addresses
Primary practice location
2045 Westgate Dr
#201
Bethlehem, PA 18017-7480
Mailing address
8076 W Sahara Ave
Las Vegas, NV 89117-7930
Phone (877) 881-0022
Other names 1
- Pennsylvania Retina Center-Bethlehem
National Provider Directory
National Provider Directory- Tax ID family
- Amedco Pennsylvania LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Pennsylvania Retina Center
- Ophthalmology Physician
- Norristown, PA
- NPI 1033454988
-
dba Pennsylvania Retina Center
- Ophthalmology Physician
- Norristown, PA
- NPI 1629312780
Locations
2045 Westgate Dr
Ste 201
Bethlehem, PA 18017
Phone (610) 272-1644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354492800000",
"number": "1245575208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8076 W SAHARA AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891177930",
"telephone_number": "877-881-0022",
"fax_number": "802-543-0314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2045 WESTGATE DR",
"address_2": "#201",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180177480",
"telephone_number": "610-272-1644",
"fax_number": "610-272-3210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMEDCO PENNSYLVANIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-03",
"last_updated": "2012-12-03",
"status": "A",
"authorized_official_last_name": "PERREIRA",
"authorized_official_first_name": "ERICA",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "877-881-0022"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pennsylvania Retina Center-Bethlehem",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Bethlehem, PA
- Christopher Robin Amato, D.C.
- Julie Amato
- Katrina Amber-Monta, MD
- May Bassem Ambrogi, L.C.S.W.
- Ambucab LLC
- Gialexa Amengual
- American Current Care P.a . (Concentra Urgent Care)
- American Home Medical Equipment and Services, Inc. (Rotech of Bethlehem)
- American Homecare Supply Mid Atlantic LLC (Young's Medical Equipment)
- American Human Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.