Organization Active NPI

Ebh Eye Associates, PLLC

  • Optometrist
  • Philadelphia, PA
National Provider Identifier
1285626440
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001435 Issued in PA
Legal business name
EBH EYE ASSOCIATES, PLLC
Practice address
215 N 9TH St
Philadelphia, PA 19107-1832
Phone
(215) 922-6288
NPI assigned
Aug 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Elizabeth BC Huynh, OD
Title
Director
Phone
(215) 922-6288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG001435 PA Primary

Addresses

Primary practice location

215 N 9TH St
Philadelphia, PA 19107-1832

Mailing address

215 N 9TH St
Philadelphia, PA 19107-1832
Phone (215) 922-6288

Other identifiers 1

IdentifierTypeStateIssuer
EB1686405OtherPAHIGHMARK BS

National Provider Directory

National Provider Directory

Locations

335 George St
New Brunswick, NJ 08901
Phone (732) 202-0393

1900 Chestnut St
Philadelphia, PA 19103
Phone (215) 563-1177

216 N 9th St
Philadelphia, PA 19107
Phone (215) 922-6288

8500 Henry Ave
Philadelphia, PA 19128
Phone (215) 483-8865

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285626440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N 9TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071832",
            "telephone_number": "215-922-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N 9TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071832",
            "telephone_number": "215-922-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBH EYE ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "BC",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "215-922-6288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "EB1686405",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.