Valley Primary Eye Care Specialists LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG003163 Issued in PA

Legal business name

VALLEY PRIMARY EYE CARE SPECIALISTS LLC

Practice address

4499 Driftwood LN
Allentown, PA 18103-9233

Phone

(610) 390-9950

NPI assigned

Jul 5, 2016

Last updated

Jul 5, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Craig Scharadin, O.D.

Title

Member

Phone

(610) 390-9950

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1386096121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4499 DRIFTWOOD LN",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181039233",
            "telephone_number": "610-390-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4499 DRIFTWOOD LN",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181039233",
            "telephone_number": "610-390-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PRIMARY EYE CARE SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "SCHARADIN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "610-390-9950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.