NPIMap

Organization Active NPI

Main Line Ophthalmology Associates

  • Ophthalmology Physician
  • Ardmore, PA
National Provider Identifier
1316978810
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MAIN LINE OPHTHALMOLOGY ASSOCIATES
Practice address
100 Church Rd
Suite 100
Ardmore, PA 19003-2316
Phone
(610) 649-7616
Fax
(610) 649-6146
NPI assigned
Jul 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Ralph S Sando, MDNPI 1326015421
Title
Director
Phone
(610) 649-7616

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
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

100 Church Rd
Suite 100
Ardmore, PA 19003-2316

Mailing address

100 Church Rd
Suite 100
Ardmore, PA 19003-2316
Phone (610) 649-7616

Other identifiers 1

IdentifierTypeStateIssuer
0468327000OtherPAIBC

National Provider Directory

National Provider Directory

Locations

100 Church Rd
Ardmore, PA 19003
Phone (610) 642-1806

100 Church Rd
Ste 100
Ardmore, PA 19003
Phone (610) 649-7616

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316978810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CHURCH RD",
            "address_2": "SUITE 100",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032316",
            "telephone_number": "610-649-7616",
            "fax_number": "610-649-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHURCH RD",
            "address_2": "SUITE 100",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032316",
            "telephone_number": "610-649-7616",
            "fax_number": "610-649-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE OPHTHALMOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANDO",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "610-649-7616",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "0468327000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, 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.