Individual provider Active NPI

Tiffany Yi-Fen Pao, O.D.

  • Optometrist
  • Langhorne, PA
National Provider Identifier
1396183224
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002790 Issued in PA
Practice address
2340 E Lincoln Hwy
Langhorne, PA 19047-1846
Phone
(215) 752-7227
NPI assigned
Jun 13, 2013
Last updated
Jun 13, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002790 PA Primary

Addresses

Primary practice location

2340 E Lincoln Hwy
Langhorne, PA 19047-1846

Mailing address

7 Woodland Rd
Newtown, PA 18940-2909

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
I20140717001858 PA Practitioner - Optometry 6608092283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1017 Chestnut St
Philadelphia, PA 19107-4213
Phone (215) 922-0212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
International Vision Center Inc. Optometrist CurrentSince Sep 1, 2018 Accepting new patients
Modern Eye Inc Optometrist Past Accepting new patients
David M. Schwartz O.D.,P.C. Optometrist Past Accepting new patients

Locations

1017 Chestnut St
Philadelphia, PA 19107
Phone (215) 922-0212

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371081600000",
    "number": "1396183224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WOODLAND RD",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189402909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 E LINCOLN HWY",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471846",
            "telephone_number": "215-752-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAO",
        "first_name": "TIFFANY",
        "middle_name": "YI-FEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.