Individual provider Active NPI

Archima Nyemady Major, OD, FAAO

  • Optometrist
  • Drexel Hill, PA
National Provider Identifier
1265529812
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001433 Issued in PA
Practice address
1204 Township Line Rd
1St Floor
Drexel Hill, PA 19026-5034
Phone
(610) 446-3939
Fax
(610) 446-3938
NPI assigned
Oct 6, 2006
Last updated
Nov 19, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001433 PA Primary

Addresses

Primary practice location

1204 Township Line Rd
1St Floor
Drexel Hill, PA 19026-5034

Mailing address

1204 Township Line Rd
1St Floor
Drexel Hill, PA 19026-5034
Phone (610) 446-3939

Other identifiers 1

IdentifierTypeStateIssuer
1014540380001MedicaidPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051104000315 PA Practitioner - Optometry 5496645400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1204 W Township Line Rd
1St Floor Suite
Drexel Hill, PA 19026-5034
Phone (610) 446-3939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2396OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Innovations LLC Optometrist CurrentSince Sep 14, 2009 Accepting new patients
Northeastern State University College of Optometry Optometrist PastSince Jul 1, 2025 Accepting new patients

Locations

1204 Township Line Rd
Ste 1
Drexel Hill, PA 19026
Phone (610) 446-3939

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1265529812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 TOWNSHIP LINE RD",
            "address_2": "1ST FLOOR",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190265034",
            "telephone_number": "610-446-3939",
            "fax_number": "610-446-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 TOWNSHIP LINE RD",
            "address_2": "1ST FLOOR",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190265034",
            "telephone_number": "610-446-3939",
            "fax_number": "610-446-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAJOR",
        "first_name": "ARCHIMA",
        "middle_name": "NYEMADY",
        "credential": "OD, FAAO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014540380001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Drexel Hill, PA

Sources for this page

Verify at the official NPI Registry.