Organization Active NPI

Pro-Specs Inc

  • Eyewear Supplier
  • Thorndale, PA
National Provider Identifier
1427094093
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
6000005245 Issued in PA
Legal business name
PRO-SPECS INC
Practice address
3000 C G Zinn Rd
The Greenview Pavilion
Thorndale, PA 19372-1134
Phone
(610) 380-1621
Fax
(610) 380-9765
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Authorized official

Name
Gary J Levin, MD
Title
Physician Owner
Phone
(610) 384-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 6000005245 PA Primary

Addresses

Primary practice location

3000 C G Zinn Rd
The Greenview Pavilion
Thorndale, PA 19372-1134

Mailing address

3000 C G Zinn Road
The Greenview Pavilion
Thorndale, PA 19372
Phone (610) 380-1621

Other identifiers 1

IdentifierTypeStateIssuer
294164OtherPAPA BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930040435 PA DME Supplier - Optician 5395866164 Practice locations: Thorndale, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Pro Specs Inc3000 C G Zinn Rd, Thorndale, PA 19372-1134(610) 380-1621 Prosthetic Lenses: Conventional Eyeglasses Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

3000 Zinn Rd
Thorndale, PA 19372
Phone (610) 380-1621

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1427094093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 C G ZINN ROAD",
            "address_2": "THE GREENVIEW PAVILION",
            "city": "THORNDALE",
            "state": "PA",
            "postal_code": "19372",
            "telephone_number": "610-380-1621",
            "fax_number": "610-380-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 C G ZINN RD",
            "address_2": "THE GREENVIEW PAVILION",
            "city": "THORNDALE",
            "state": "PA",
            "postal_code": "193721134",
            "telephone_number": "610-380-1621",
            "fax_number": "610-380-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-SPECS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN  OWNER",
        "authorized_official_telephone_number": "610-384-9100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "PA",
            "license": "6000005245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "294164",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thorndale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.