Organization Active NPI

JB Popivchak Inc

  • Eyewear Supplier
  • Doylestown, PA
National Provider Identifier
1407901655
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
81119717 Issued in PA
Legal business name
JB POPIVCHAK INC
Practice address
10 W Oakland Ave
Doylestown, PA 18901-4209
Phone
(215) 345-0401
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Mr. Joseph Basil Popivchak Sr.
Title
President
Phone
(215) 345-0401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 81119717 PA Primary

Addresses

Primary practice location

10 W Oakland Ave
Doylestown, PA 18901-4209

Mailing address

10 W Oakland Ave
Doylestown, PA 18901-4209
Phone (215) 345-0401

Other identifiers 2

IdentifierTypeStateIssuer
J 288190OtherPAHIGHMARK CLARITY VISION#
36899OtherPADAVIS VISION PANEL#

Other names 1

  • Wetherill Opticians Inc Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1407901655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W OAKLAND AVE",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189014209",
            "telephone_number": "215-345-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W OAKLAND AVE",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189014209",
            "telephone_number": "215-345-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JB POPIVCHAK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "POPIVCHAK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "BASIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-345-0401",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "PA",
            "license": "81119717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK CLARITY VISION#",
            "identifier": "J 288190",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION PANEL#",
            "identifier": "36899",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wetherill Opticians Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Doylestown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.