Ja Vision Enterprises

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JA VISION ENTERPRISES

Doing business as

Palmer Family Eye Care

Practice address

21 Corporate Dr Ste 2
Easton, PA 18045-2664

Phone

(610) 258-2442

Fax

(610) 258-7961

NPI assigned

Nov 27, 2020

Last updated

Nov 27, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rachel Mobley

Title

Billing Manager/ Optometrist Assist

Phone

(610) 258-2442

Specialties & licenses 1

Addresses

Other names 1

• Palmer Family Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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.

• Andrew Larson, O.D.

  • Optometrist
  • Kutztown, PA
  • NPI 1538508031
  Medicare reassignment Care Compare group NPD
• Joanne Larson, OD

  • Optometrist
  • Easton, PA
  • NPI 1962843599
  Medicare reassignment Care Compare group NPD
• Gary Lee Dietterick, OD

  • Optometrist
  • Easton, PA
  • NPI 1407836851
  Medicare reassignment NPD

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

{
    "created_epoch": "1606435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606435200000",
    "number": "1336743632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CORPORATE DR STE 2",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452664",
            "telephone_number": "610-258-2442",
            "fax_number": "610-258-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CORPORATE DR STE 2",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452664",
            "telephone_number": "610-258-2442",
            "fax_number": "610-258-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JA VISION ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-27",
        "last_updated": "2020-11-27",
        "certification_date": "2020-11-27",
        "status": "A",
        "authorized_official_last_name": "MOBLEY",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "BILLING MANAGER/ OPTOMETRIST ASSIST",
        "authorized_official_telephone_number": "610-258-2442"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmer Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Integrated Physicians Group, LLC
• Thomas William Ireland, R.PH.
• Olga Corazon Irizarry, MD
• John Isaac
• Maryann Isaac
• Eli Jacobs, DO
• Jamie Jacobs, DO
• Farheen Fatima Jaffari
• James F Cochran MD PC
• Jasbir S Deol MD

• Optometrist in Easton, PA
• Providers in Easton, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2020; 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.