Jamie Lynn Magnotta, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG002121 Issued in PA

Practice address

100 Evergreen Dr
Ste 117 Pearle Vision
Glen Mills, PA 19342-1056

Phone

(610) 558-9803

NPI assigned

Sep 24, 2008

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
• A & K Vision

  • Point of Service
  • Glen Mills, PA
  • NPI 1306532148
  NPD (past)
• Alpha Optical Glen Mills, LLC

  • Optometrist
  • Glen Mills, PA
  • NPI 1134904519
  NPD (past)

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1295985463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EVERGREEN DR",
            "address_2": "STE 117 PEARLE VISION",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421056",
            "telephone_number": "610-558-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EVERGREEN DR",
            "address_2": "STE 117 PEARLE VISION",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421056",
            "telephone_number": "610-558-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNOTTA",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Luu
• Marybeth Lynn, CRNP
• M3 Eyecare, PLLC
• Kasey Macdonald
• Darrin Macmillan, P.T.
• Matthew Christian Maguire, PT, DPT
• Kristin Mahan
• Main Street Pharmacy, LLC
• Samy Malek, DMD
• Maris Grove, Inc

• Optometrist in Glen Mills, PA
• Providers in Glen Mills, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.