Organization Active NPI

Optimeyes Vision Development LLC

  • Optometrist
  • Broomall, PA
National Provider Identifier
1275357170
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OPTIMEYES VISION DEVELOPMENT LLC
Practice address
7 Davis Ave
Broomall, PA 19008-2103
Phone
(610) 400-3181
NPI assigned
Nov 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Authorized official

Name
Dr. Talitha D'Italia, ODNPI 1063477990
Title
Member
Phone
(610) 400-3181

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

7 Davis Ave
Broomall, PA 19008-2103

Mailing address

7 Davis Ave
Broomall, PA 19008-2103
Phone (610) 400-3181

National Provider Directory

National Provider Directory

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": "1731024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1275357170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DAVIS AVE",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190082103",
            "telephone_number": "610-400-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 DAVIS AVE",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190082103",
            "telephone_number": "610-400-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMEYES VISION DEVELOPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "D'ITALIA",
        "authorized_official_first_name": "TALITHA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "610-400-3181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.