NPIMap

Organization Active NPI

West Chester Optometry, P.C.

  • Optometrist
  • Broomall, PA
National Provider Identifier
1275845273
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG-001886 Issued in PA
Legal business name
WEST CHESTER OPTOMETRY, P.C.
Practice address
2805 W Chester Pike
Broomall, PA 19008-1827
Phone
(610) 356-3933
Fax
(610) 356-3324
NPI assigned
Jul 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Authorized official

Name
Dr. Jimmy Tuy Nguyen, O.D.NPI 1962420224
Title
President
Phone
(610) 930-3312

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 OEG-001886 PA Primary

Addresses

Primary practice location

2805 W Chester Pike
Broomall, PA 19008-1827

Mailing address

243 Haverford Rd
Wynnewood, PA 19096-3318
Phone (610) 930-3312

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100827000042 PA Part B Supplier - Clinic/Group Practice 4082738067 Receives reassigned benefits from 2 practitioners
Practice locations: Broomall, PA; West Chester, PA

National Provider Directory

National Provider Directory

Locations

5 N 5 Points Rd
West Chester, PA 19380
Phone (610) 696-1900

301 W Boot Rd
West Chester, PA 19380
Phone (610) 430-2060

Practitioners & affiliated clinicians

Practitioners 4

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": "1278460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1275845273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 HAVERFORD RD",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963318",
            "telephone_number": "610-930-3312",
            "fax_number": "610-696-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 W CHESTER PIKE",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190081827",
            "telephone_number": "610-356-3933",
            "fax_number": "610-356-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CHESTER OPTOMETRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-07",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "TUY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-930-3312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG-001886",
            "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 Jan 3, 2012; 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.