Organization Active NPI

Eyecare for the Family Inc.

  • Optometrist
  • Philadelphia, PA
National Provider Identifier
1366503757
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000848 Issued in PA
Legal business name
EYECARE FOR THE FAMILY INC.
Doing business as
EyeCare For The Family Inc.
Practice address
521 W Olney Ave
Philadelphia, PA 19120-2217
Phone
(215) 224-2347
NPI assigned
Dec 12, 2006
Last updated
Sep 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Authorized official

Name
Dr. Marcha Marie Polection-Smith, O.D.
Title
President
Phone
(215) 224-2347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000848 PA Primary

Addresses

Primary practice location

521 W Olney Ave
Philadelphia, PA 19120-2217

Mailing address

1124 Wilson Ave
Roslyn, PA 19001-4025
Phone (215) 224-2347

Other names 1

  • EyeCare For The Family Inc. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040610000166 PA Part B Supplier - Clinic/Group Practice 9537142625 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

521 W Olney Ave
Philadelphia, PA 19120
Phone (215) 224-2347

521 W Olney Ave
Fl First
Philadelphia, PA 19120
Phone (215) 224-2347

Practitioners & affiliated clinicians

Practitioners 2

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1366503757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 WILSON AVE",
            "city": "ROSLYN",
            "state": "PA",
            "postal_code": "190014025",
            "telephone_number": "215-224-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W OLNEY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202217",
            "telephone_number": "215-224-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE FOR THE FAMILY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "POLECTION-SMITH",
        "authorized_official_first_name": "MARCHA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-224-2347",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EyeCare For The Family Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.