Alicia Donna Pecco, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG002197 Issued in PA

Practice address

2385 W Cheltenham Ave Ste 312
Philadelphia, PA 19150-1517

Phone

(215) 887-6538

Fax

(215) 887-8748

NPI assigned

Jul 29, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Visionworks, Inc.

  • Optometrist
  • Erie, PA
  • NPI 1063579837
  Medicare reassignment NPD
• Visionworks, Inc

  • Eyewear Supplier
  • Simpsonville, SC
  • NPI 1699571166
  NPD

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1275764904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 W CHELTENHAM AVE STE 312",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191501517",
            "telephone_number": "215-887-6538",
            "fax_number": "215-887-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 W CHELTENHAM AVE STE 312",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191501517",
            "telephone_number": "215-887-6538",
            "fax_number": "215-887-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECCO",
        "first_name": "ALICIA",
        "middle_name": "DONNA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-29",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexia Peart
• Claire Peasley, PT, DPT
• Tracey Alicia Peay
• Amanda Michelle Pebenito, MD
• Brandon Pecchia, MD, MS
• Sydney Pechal
• Joanne Elaine Pechar, CRNP
• Taine Tayard Pechet, MD
• Katherine Peck, D.M.D
• Kristen Peck, LCSW

• Optometrist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.