Individual provider Active NPI

Nestor Biletsky

  • Optometrist
  • Upper Darby, PA
National Provider Identifier
1316508666
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003541 Issued in PA
Practice address
1560 Garrett Rd Ste F
Upper Darby, PA 19082-4516
Phone
(610) 623-0039
Fax
(610) 623-2840
NPI assigned
Jun 27, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X OEG003541 PA
Optometrist 152W00000X OEG003541 PA Primary

Addresses

Primary practice location

1560 Garrett Rd Ste F
Upper Darby, PA 19082-4516

Mailing address

1560 Garrett Rd Ste F
Upper Darby, PA 19082-4516
Phone (610) 623-0039

Other practice location 1

1098 W Baltimore Pike Ste 3407
Media, PA 19063-5139
Phone (610) 566-7127

Other practice location 2

2010 W Chester Pike Ste 310
Havertown, PA 19083-2737
Phone (610) 446-2260

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
I20190822000654 PA Practitioner - Optometry 7719215243 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003541PAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Pennsylvania Professional Inc Optometrist CurrentSince Nov 14, 2023 Accepting new patients
Richard L Jahnle MD PC Optometrist CurrentSince Sep 1, 2019 Accepting new patients
Aeg Pennsylvania Professional, Inc Optometrist Past Accepting new patients
Domenick Braccia D.O. PastSince Sep 1, 2019 Accepting new patients

Locations

93 W Devon Dr
Ste 101
Exton, PA 19341
Phone (610) 363-8960

2010 W Chester Pike
Ste 310
Havertown, PA 19083
Phone (610) 446-2260

2010 W Chester Pike
Havertown, PA 19083
Phone (610) 446-2260

187 Scharberry Ln
Mars, PA 16046
Phone (724) 591-5501

1098 W Baltimore Pike
Ste 3407
Media, PA 19063
Phone (610) 566-7096

1560 Garrett Rd
Ste F
Upper Darby, PA 19082
Phone (610) 623-0039

Organizations & group practices 4

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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Pennsylvania Professional Inc 80 clinicians

Practice addresses (Care Compare)

1560 Garrett Rd
Suite F
Upper Darby, PA 19082-4516
Phone (610) 951-6223

NPI Registry JSON

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1316508666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 GARRETT RD STE F",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190824516",
            "telephone_number": "610-623-0039",
            "fax_number": "610-623-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 GARRETT RD STE F",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190824516",
            "telephone_number": "610-623-0039",
            "fax_number": "610-623-2840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1098 W Baltimore Pike Ste 3407",
            "address_purpose": "LOCATION",
            "city": "Media",
            "state": "PA",
            "postal_code": "190635139",
            "country_code": "US",
            "telephone_number": "610-566-7127",
            "fax_number": "610-566-0793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2010 W Chester Pike Ste 310",
            "address_purpose": "LOCATION",
            "city": "Havertown",
            "state": "PA",
            "postal_code": "190832737",
            "country_code": "US",
            "telephone_number": "610-446-2260",
            "fax_number": "610-446-3360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BILETSKY",
        "first_name": "NESTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-27",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "OEG003541",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Darby, PA

Sources for this page

Verify at the official NPI Registry.