Organization Active NPI

Allentown Vision Therapy

  • Vision Therapy Optometrist
  • Allentown, PA
National Provider Identifier
1417239716
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
OEG001554 Issued in PA
Legal business name
ALLENTOWN VISION THERAPY
Practice address
1575 Pond Rd
Suite 103
Allentown, PA 18104-2254
Phone
(610) 395-7360
Fax
(610) 395-7728
NPI assigned
Sep 13, 2011
Last updated
Sep 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Authorized official

Name
Dr. Jay R. Feder, O.D.NPI 1790811834
Title
Optometrist
Phone
(610) 395-7360

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
Vision Therapy OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WV0400X OEG001554 PA Primary

Addresses

Primary practice location

1575 Pond Rd
Suite 103
Allentown, PA 18104-2254

Mailing address

1575 Pond Rd
Suite 103
Allentown, PA 18104-2254

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1417239716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 POND RD",
            "address_2": "SUITE 103",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 POND RD",
            "address_2": "SUITE 103",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042254",
            "telephone_number": "610-395-7360",
            "fax_number": "610-395-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLENTOWN VISION THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "FEDER",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "610-395-7360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "PA",
            "license": "OEG001554",
            "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 Sep 13, 2011; 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.