NPIMap

Organization Active NPI

The Elder Eye Care Group, Inc

Doing business as Village Optical

  • Optometrist
  • Phoenixville, PA
National Provider Identifier
1265469654
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG1131 Issued in PA
Legal business name
THE ELDER EYE CARE GROUP, INC
Doing business as
Village Optical
Practice address
706 Village at Eland
Suite 706
Phoenixville, PA 19460-2284
Phone
(610) 917-9999
Fax
(610) 917-9978
NPI assigned
Jun 28, 2006
Last updated
Jun 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Dr. Gregory William Vallino, O.D.NPI 1306874672
Title
Owner
Phone
(610) 917-9999

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
Optometrist 152W00000X OEG1131 PA Primary

Addresses

Primary practice location

706 Village at Eland
Suite 706
Phoenixville, PA 19460-2284

Mailing address

118 Trotters Dr
Phoenixville, PA 19460-2368
Phone (610) 983-0841

Other names 1

  • Village Optical Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040805001246 PA Part B Supplier - Clinic/Group Practice 3072584507 Receives reassigned benefits from 21 practitioners
Practice locations: West Chester, PA; Phoenixville, PA; Paoli, PA; King of Prussia, PA; Glenmoore, PA; Collegeville, PA

National Provider Directory

National Provider Directory

Locations

222 E Main St
Unit 11
Collegeville, PA 19426
Phone (610) 489-4100

2940 Conestoga Rd
Glenmoore, PA 19343

2944 Conestoga Rd
Glenmoore, PA 19343

2944 Conestoga Rd
Unit D4
Glenmoore, PA 19343
Phone (610) 458-7171

43 E Lancaster Ave
Paoli, PA 19301
Phone (610) 695-9090

501 Kimberton Rd
Phoenixville, PA 19460
Phone (610) 917-9999

654 Downingtown Pike
West Chester, PA 19380
Phone (610) 738-1494

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1265469654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 TROTTERS DR",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194602368",
            "telephone_number": "610-983-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 VILLAGE AT ELAND",
            "address_2": "SUITE 706",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194602284",
            "telephone_number": "610-917-9999",
            "fax_number": "610-917-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ELDER EYE CARE GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "VALLINO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-917-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG1131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenixville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.