Organization Active NPI

Jason D Munitz OD LLC

  • Optometrist
  • Holland, PA
National Provider Identifier
1366640450
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000238 Issued in PA
Legal business name
JASON D MUNITZ OD LLC
Practice address
295 Buck Rd
Suite 316
Holland, PA 18966-1733
Phone
(215) 953-1200
Fax
(215) 953-1201
NPI assigned
Jul 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Authorized official

Name
Dr. Jason Munitz, ODNPI 1215952395
Title
Doctor Owner
Phone
(215) 953-1200

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
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OEG000238 PA Primary

Addresses

Primary practice location

295 Buck Rd
Suite 316
Holland, PA 18966-1733

Mailing address

295 Buck Rd
Suite 316
Holland, PA 18966-1733
Phone (215) 953-1200

Other names 1

  • Holland Eye Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161118001226 PA Part B Supplier - Clinic/Group Practice 8426337262 Receives reassigned benefits from 3 practitioners
Practice locations: Holland, PA

National Provider Directory

National Provider Directory

Locations

295 Buck Rd
Ste 114
Holland, PA 18966
Phone (215) 953-1200

295 Buck Rd
Ste 316
Southampton, PA 18966
Phone (215) 953-1200

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1366640450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 BUCK RD",
            "address_2": "SUITE 316",
            "city": "HOLLAND",
            "state": "PA",
            "postal_code": "189661733",
            "telephone_number": "215-953-1200",
            "fax_number": "215-953-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 BUCK RD",
            "address_2": "SUITE 316",
            "city": "HOLLAND",
            "state": "PA",
            "postal_code": "189661733",
            "telephone_number": "215-953-1200",
            "fax_number": "215-953-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON D MUNITZ OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "MUNITZ",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DOCTOR   OWNER",
        "authorized_official_telephone_number": "215-953-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holland Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holland, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.