Individual provider Active NPI

David Difranceisco, O.D.

  • Optometrist
  • Huntingdon Valley, PA
National Provider Identifier
1407843063
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000964 Issued in PA
Practice address
2755 Philmont Ave Ste 140
Huntingdon Valley, PA 19006-5321
Phone
(215) 938-7878
Fax
(215) 938-7985
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000964 PA Primary

Addresses

Primary practice location

2755 Philmont Ave Ste 140
Huntingdon Valley, PA 19006-5321

Mailing address

2755 Philmont Ave Ste 140
Huntingdon Valley, PA 19006-5321
Phone (215) 938-7878

Other identifiers 1

IdentifierTypeStateIssuer
001787589MedicaidPA

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
I20040730000080 PA Practitioner - Optometry 2567432164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Eye Professionals LLCGroup PAC ID 9537179353, 5 clinicians

Practice addresses (Care Compare)

2755 Philmont Ave
Suite 140
Huntingdon Valley, PA 19006-5321
Phone (215) 938-7865

Merit-based Incentive Payment System (MIPS)

Final score
93.09 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.95

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000964PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Eye Professionals LLC Optometrist CurrentSince Apr 1, 2006 Accepting new patients
Keystone Eye Associates, LLC Optometrist Past Accepting new patients

Locations

2755 Philmont Ave
Ste 140
Huntingdon Vy, PA 19006
Phone (215) 938-7865

2643 Huntingdon Pike
Huntingdon Vy, PA 19006
Phone (215) 938-7865

Organizations & group practices 2

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1407843063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 PHILMONT AVE STE 140",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190065321",
            "telephone_number": "215-938-7878",
            "fax_number": "215-938-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 PHILMONT AVE STE 140",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190065321",
            "telephone_number": "215-938-7878",
            "fax_number": "215-938-7985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIFRANCEISCO",
        "first_name": "DAVID",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001787589",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

Verify at the official NPI Registry.