NPIMap

Organization Active NPI

Riddle Eye Associates P C

  • Ophthalmology Physician
  • Media, PA
National Provider Identifier
1346298536
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RIDDLE EYE ASSOCIATES P C
Practice address
1098 W Baltimore Pike
Suite 3302
Media, PA 19063-5139
Phone
(610) 565-6780
Fax
(610) 565-9390
NPI assigned
May 4, 2006
Last updated
Apr 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Authorized official

Name
Jennymarie Mattero
Title
Practice Manager
Phone
(610) 565-6780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

1098 W Baltimore Pike
Suite 3302
Media, PA 19063-5139

Mailing address

1098 W Baltimore Pike
Suite 3302
Media, PA 19063-5139
Phone (610) 565-6780

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040708000418 PA Part B Supplier - Clinic/Group Practice 1254319148 Receives reassigned benefits from 9 practitioners
Practice locations: Media, PA
O20100930027458 PA DME Supplier - Physician - Ophthalmology 1254319148 Practice locations: Media, PA

National Provider Directory

National Provider Directory
Tax ID family
Jaeger Palena Eye Assoc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 9

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": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1346298536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1098 W BALTIMORE PIKE",
            "address_2": "SUITE 3302",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635139",
            "telephone_number": "610-565-6780",
            "fax_number": "610-565-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 W BALTIMORE PIKE",
            "address_2": "SUITE 3302",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635139",
            "telephone_number": "610-565-6780",
            "fax_number": "610-565-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDDLE EYE ASSOCIATES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "MATTERO",
        "authorized_official_first_name": "JENNYMARIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "610-565-6780"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.