Organization Active NPI

Wink Eye Care and Optical, LLC

  • Optometrist
  • Langhorne, PA
National Provider Identifier
1265901987
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WINK EYE CARE AND OPTICAL, LLC
Practice address
838 Chestnut CT
Langhorne, PA 19047-4102
Phone
(215) 601-9620
NPI assigned
Nov 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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

Authorized official

Name
Minal Patel, ODNPI 1093020141
Title
Optometrist
Phone
(215) 601-9620

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

838 Chestnut CT
Langhorne, PA 19047-4102

Mailing address

838 Chestnut CT
Langhorne, PA 19047-4102
Phone (121) 560-1962

Other identifiers 1

IdentifierTypeStateIssuer
1026469080001MedicaidPA

Other names 1

  • Wink Eye Care and Optical, LLC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200221000533 PA Part B Supplier - Clinic/Group Practice 3476980038 Receives reassigned benefits from 1 practitioner
Practice locations: Abington, PA

National Provider Directory

National Provider Directory

Locations

1151 Old York Rd
Abington, PA 19001
Phone (215) 935-6320

1151 Old York Rd
Ste 103
Abington, PA 19001

1649 The Fairway
Jenkintown, PA 19046
Phone (215) 935-6320

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543190400000",
    "number": "1265901987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 CHESTNUT CT",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190474102",
            "telephone_number": "121-560-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 CHESTNUT CT",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190474102",
            "telephone_number": "215-601-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINK EYE CARE AND OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-26",
        "last_updated": "2018-11-26",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MINAL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "215-601-9620",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026469080001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wink Eye Care and Optical, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.