Individual provider Active NPI

Jason Michael Paist, O.D.

  • Optometrist
  • Limerick, PA
National Provider Identifier
1376545467
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000342 Issued in PA
Practice address
649 N Lewis Rd Ste 120
Limerick, PA 19468-1234
Phone
(610) 495-6851
Fax
(610) 495-6853
NPI assigned
Jun 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000342 PA Primary

Addresses

Primary practice location

649 N Lewis Rd Ste 120
Limerick, PA 19468-1234

Mailing address

649 N Lewis Rd Ste 120
Limerick, PA 19468-1234
Phone (610) 495-6851

Other identifiers 1

IdentifierTypeStateIssuer
2182692000OtherPABLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031203000405 PA Practitioner - Optometry 7911802061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

649 N Lewis Rd
Suite 120
Limerick, PA 19468-1234
Phone (610) 495-6851

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000342PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Limerick Eye Associates, P.C. Optometrist CurrentSince Mar 1, 2008 Accepting new patients

Locations

649 N Lewis Rd
Ste 120
Limerick, PA 19468
Phone (610) 495-6851

649 N Lewis Rd
#10
Royersford, PA 19468

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1376545467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 N LEWIS RD STE 120",
            "city": "LIMERICK",
            "state": "PA",
            "postal_code": "194681234",
            "telephone_number": "610-495-6851",
            "fax_number": "610-495-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 N LEWIS RD STE 120",
            "city": "LIMERICK",
            "state": "PA",
            "postal_code": "194681234",
            "telephone_number": "610-495-6851",
            "fax_number": "610-495-6853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIST",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "2182692000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Limerick, PA

Sources for this page

Verify at the official NPI Registry.