Individual provider Active NPI

Mervet Nanouh Hachem, O.D.

  • Optometrist
  • Wyomissing, PA
National Provider Identifier
1295999423
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002117 Issued in PA
Practice address
1901 Ridgewood Ave
Wyomissing, PA 19610-1231
Phone
(610) 373-2300
NPI assigned
Jul 16, 2008
Last updated
Jul 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002117 PA Primary

Addresses

Primary practice location

1901 Ridgewood Ave
Wyomissing, PA 19610-1231

Mailing address

23 Edinboro LN
Reading, PA 19605-7002
Phone (610) 216-5811

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120917000199 PA Practitioner - Optometry 8527216571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
George Linsey O.D. P.C.Group PAC ID 8325003189, 3 clinicians

Practice addresses (Care Compare)

1901 Ridgewood Rd
Wyomissing, PA 19610-1231
Phone (610) 373-2300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG002117PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
George Linsey O.D. P.C. Optometrist CurrentSince Aug 9, 2012 Accepting new patients

Locations

1901 Ridgewood Rd
Wyomissing, PA 19610
Phone (610) 373-2300

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1295999423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 EDINBORO LN",
            "city": "READING",
            "state": "PA",
            "postal_code": "196057002",
            "telephone_number": "610-216-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 RIDGEWOOD AVE",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101231",
            "telephone_number": "610-373-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACHEM",
        "first_name": "MERVET",
        "middle_name": "NANOUH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.