Provision Eye Associates

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG003030 Issued in PA

Legal business name

PROVISION EYE ASSOCIATES

Practice address

653 Skippack Pike Ste 132
Blue Bell, PA 19422-1738

Phone

(215) 628-2020

Fax

(215) 628-3131

NPI assigned

May 2, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Kyle Capel, ODNPI 1841670650

Title

Owner

Phone

(518) 847-6186

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyle Capel, O.D.

  • Optometrist
  • Blue Bell, PA
  • NPI 1841670650
  Medicare reassignment Care Compare group Authorized official
• Stella Jaeyeun Park, O.D

  • Optometrist
  • Blue Bell, PA
  • NPI 1457890543
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1326537622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 SKIPPACK PIKE STE 132",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221738",
            "telephone_number": "215-628-2020",
            "fax_number": "215-628-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 SKIPPACK PIKE STE 132",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221738",
            "telephone_number": "215-628-2020",
            "fax_number": "215-628-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVISION EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-02",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "CAPEL",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-847-6186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark A Posner, MD
• Brigette Potgieter, LCSW
• Sahar Pourshahriari, OD
• Julia Principato
• Andrew Stephen Prousi, DMD
• Pantelis P Psillos, O.D.
• Meredith Puente
• Pulaski Family and Cosmetic Dentistry, LLC
• Mary Lynn Puleo, DMD
• Pure Point Acupuncture Inc

• Optometrist in Blue Bell, PA
• Providers in Blue Bell, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.