NPIMap

Organization Active NPI

Pennsylvania Physicians Eyecare Group, P.C.

  • Optometrist
  • Erie, PA
National Provider Identifier
1265328686
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PENNSYLVANIA PHYSICIANS EYECARE GROUP, P.C.
Practice address
5942 Peach St
Erie, PA 16509-3440
Phone
(877) 350-3399
NPI assigned
Jun 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Alisha Jackson
Title
Senior Revenue Cycle Manager
Phone
(619) 357-6146

Specialties & licenses 1

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

Addresses

Primary practice location

5942 Peach St
Erie, PA 16509-3440

Mailing address

PO Box 24686
New York, NY 10087-4686
Phone (877) 350-3399

National Provider Directory

National Provider Directory
Tax ID family
Daniel Max LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1265328686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24686",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100874686",
            "telephone_number": "877-350-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5942 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165093440",
            "telephone_number": "877-350-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA PHYSICIANS EYECARE GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-13",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ALISHA",
        "authorized_official_title_or_position": "SENIOR REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "619-357-6146"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.