Organization Active NPI

Christiana Eyecare LLC

  • Optometrist
  • Christiana, PA
National Provider Identifier
1467294298
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CHRISTIANA EYECARE LLC
Practice address
316 Newport Ave
Christiana, PA 17509-1312
Phone
(610) 593-6670
Fax
(610) 593-2327
NPI assigned
Jun 11, 2024
Last updated
Jun 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Dr. Keith Foster Shuke, ODNPI 1366411936
Title
Partner
Phone
(717) 701-3007

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
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

316 Newport Ave
Christiana, PA 17509-1312

Mailing address

316 Newport Ave
Christiana, PA 17509-1312
Phone (610) 593-6670

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240912000874 PA Part B Supplier - Clinic/Group Practice 3274073663 Receives reassigned benefits from 1 practitioner
Practice locations: Christiana, PA

National Provider Directory

National Provider Directory

Locations

316 Newport Ave
Christiana, PA 17509
Phone (610) 593-6670

Practitioners & affiliated clinicians

Practitioners 3

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": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1467294298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 NEWPORT AVE",
            "city": "CHRISTIANA",
            "state": "PA",
            "postal_code": "175091312",
            "telephone_number": "610-593-6670",
            "fax_number": "610-593-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 NEWPORT AVE",
            "city": "CHRISTIANA",
            "state": "PA",
            "postal_code": "175091312",
            "telephone_number": "610-593-6670",
            "fax_number": "610-593-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIANA EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "SHUKE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "FOSTER",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "717-701-3007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiana, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.