Organization Active NPI

Quarryville Eyecare, LLC

  • Optometrist
  • Quarryville, PA
National Provider Identifier
1326601147
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
QUARRYVILLE EYECARE, LLC
Practice address
21 S Church St
Quarryville, PA 17566-1213
Phone
(717) 786-4277
Fax
(717) 786-7624
NPI assigned
Apr 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Authorized official

Name
Mrs. Sharon H Kreider
Title
Insurance Billing Specialist
Phone
(717) 786-4277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

21 S Church St
Quarryville, PA 17566-1213

Mailing address

21 S Church St
Quarryville, PA 17566-1213
Phone (717) 786-4277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190424000355 PA Part B Supplier - Clinic/Group Practice 8921340985 Receives reassigned benefits from 1 practitioner
Practice locations: Quarryville, PA
O20190926002325 PA DME Supplier - Physician - Optometrist 8921340985 Practice locations: Quarryville, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Quarryville Eyecare LLC21 S Church St, Quarryville, PA 17566-1213(717) 786-4277 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since May 1, 2019

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1326601147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 S CHURCH ST",
            "city": "QUARRYVILLE",
            "state": "PA",
            "postal_code": "175661213",
            "telephone_number": "717-786-4277",
            "fax_number": "717-786-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 S CHURCH ST",
            "city": "QUARRYVILLE",
            "state": "PA",
            "postal_code": "175661213",
            "telephone_number": "717-786-4277",
            "fax_number": "717-786-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUARRYVILLE EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "KREIDER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "INSURANCE BILLING SPECIALIST",
        "authorized_official_telephone_number": "717-786-4277",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quarryville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.