Doctor of Eyeballs, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001838 Issued in PA

Legal business name

DOCTOR OF EYEBALLS, LLC

Practice address

828 Fayette St
Conshohocken, PA 19428-1709

Phone

(610) 828-9701

Fax

(610) 828-4157

NPI assigned

Jul 26, 2014

Last updated

Dec 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brett Neal, ODNPI 1770593428

Title

President

Phone

(610) 828-9701

Specialties & licenses 8

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 5

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.

• Brett M Neal, OPTOMETRIST

  • Optometrist
  • Philadelphia, PA
  • NPI 1770593428
  Medicare reassignment Care Compare group NPD Authorized official
• Erin K. McConnell, O.D.

  • Optometrist
  • Philadelphia, PA
  • NPI 1699905307
  Medicare reassignment Care Compare group NPD
• Angela I Pellegrini, O.D.

  • Optometrist
  • Wilmington, DE
  • NPI 1841453495

  PA

  Medicare reassignment Care Compare group NPD
• Shelley Ilene Cutler-Frankel, OD

  • Optometrist
  • Philadelphia, PA
  • NPI 1013066802
  Medicare reassignment Care Compare group
• Scott Goldberg, O.D.,M.A.,F.A.A.O.

  • Optometrist
  • Conshohocken, PA
  • NPI 1720073919
  Medicare reassignment NPD

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

{
    "created_epoch": "1406332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418947200000",
    "number": "1467860155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 FAYETTE ST",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281709",
            "telephone_number": "610-828-9701",
            "fax_number": "610-828-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 FAYETTE ST",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281709",
            "telephone_number": "610-828-9701",
            "fax_number": "610-828-4157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR OF EYEBALLS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-26",
        "last_updated": "2014-12-19",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-828-9701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001838",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "PA",
            "license": "OEG001838",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "PA",
            "license": "OEG001838",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "PA",
            "license": "OEG001838",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "PA",
            "license": "OEG001838",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "PA",
            "license": "OEG001838",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "PA",
            "license": "OEG001838",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "OEG001838",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Jose Diaz Cruz
• Matthew Thomas Digiandomenico, MA, LPC
• Sean Richard Dinan, LSW
• Tara Dingley, MS, CCC-SLP
• Nicole Marie Dobrin, PT, DPT, OCS
• Barbara Dougherty, CRNP
• Dr Glenn Galbraith Miller, Medicine PC
• Cara Ashley Bendler Drescher, LMT
• Camille Elizabeth Drozdowski, PA-C
• Lenora Helene Drummond, CNIM, R.EPT

• Optometrist in Conshohocken, PA
• Providers in Conshohocken, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.