Organization Active NPI

A&M Optical LLC

Doing business as Philadelphia Vision Center

  • Optician
  • Phila, PA
National Provider Identifier
1336832393
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
A&M OPTICAL LLC
Doing business as
Philadelphia Vision Center
Practice address
101 W Chelten Ave
Phila, PA 19144-3301
Phone
(215) 843-2020
Fax
(215) 843-7428
NPI assigned
May 26, 2023
Last updated
Aug 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Authorized official

Name
Alan BirdNPI 1598186637
Title
Ceo/Owner
Phone
(215) 843-2020

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
Optician 156FX1800X Primary

Addresses

Primary practice location

101 W Chelten Ave
Phila, PA 19144-3301

Mailing address

101 W Chelten Ave
Phila, PA 19144-3301
Phone (215) 843-2020

Other names 1

  • Philadelphia Vision Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230825000545 PA Part B Supplier - Clinic/Group Practice 1456714385 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

101 W Chelten Ave
Philadelphia, PA 19144
Phone (215) 843-2020

Practitioners & affiliated clinicians

Practitioners 4

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": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1336832393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W CHELTEN AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191443301",
            "telephone_number": "215-843-2020",
            "fax_number": "215-843-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W CHELTEN AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191443301",
            "telephone_number": "215-843-2020",
            "fax_number": "215-843-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A&M OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "BIRD",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "215-843-2020"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Philadelphia Vision Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Philadelphia Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.