Organization Active NPI

Allentown Vision Center, PC

  • Optometrist
  • Allentown, PA
National Provider Identifier
1407952583
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG00358 Issued in PA
Legal business name
ALLENTOWN VISION CENTER, PC
Practice address
740 W Hamilton St Ste 100
Allentown, PA 18101-2425
Phone
(610) 434-1000
Fax
(610) 434-9592
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Authorized official

Name
Dr. Mark Joseph Dalton, O.D.NPI 1568568640
Title
President
Phone
(610) 434-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG00358 PA Primary

Addresses

Primary practice location

740 W Hamilton St Ste 100
Allentown, PA 18101-2425

Mailing address

740 W Hamilton St Ste 100
Allentown, PA 18101-2425
Phone (610) 434-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040205000099 PA Part B Supplier - Clinic/Group Practice 9032002977 Receives reassigned benefits from 4 practitioners
Practice locations: Allentown, PA

National Provider Directory

National Provider Directory

Locations

740 W Hamilton St
Ste 110
Allentown, PA 18101

939 W Hamilton St
Allentown, PA 18101
Phone (610) 434-1000

740 W Hamilton St
Ste 100
Allentown, PA 18101
Phone (610) 434-1000

Practitioners & affiliated clinicians

Practitioners 6

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": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1407952583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 W HAMILTON ST STE 100",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181012425",
            "telephone_number": "610-434-1000",
            "fax_number": "610-434-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 W HAMILTON ST STE 100",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181012425",
            "telephone_number": "610-434-1000",
            "fax_number": "610-434-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLENTOWN VISION CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-434-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG00358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.