Medoptic, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001366 Issued in PA

Legal business name

MEDOPTIC, P.C.

Practice address

2037 Stefko Blvd
Bethlehem, PA 18017-5444

Phone

(610) 419-6444

Fax

(610) 419-8800

NPI assigned

Aug 5, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Sylvia Medina, O.D.

Title

President, Owner

Phone

(610) 419-8800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1356655047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2037 STEFKO BLVD.",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180175444",
            "telephone_number": "610-419-6444",
            "fax_number": "610-419-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2037 STEFKO BLVD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180175444",
            "telephone_number": "610-419-6444",
            "fax_number": "610-419-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDOPTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "610-419-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102486223 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dinnette Aracely Medina, MA
• Rene Agne Medina, LCSW
• Sylvia Medina, O.D.
• Tasha Medina, LCSW
• Daniel Medlar, PSY.D.
• Diane Meehan, PAC
• Nathan Mege, DO
• Courtney Mehalko
• Hetul Mehta, D.O.
• Nidhi Mehta, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.