Geoffrey Paterson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG1759 Issued in PA

Practice address

811 Parkridge Dr
Media, PA 19063-1715

Phone

(610) 566-7026

NPI assigned

Dec 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Elder Eye Care Group, Inc

  dba Village Optical

  • Optometrist
  • Phoenixville, PA
  • NPI 1265469654
  Medicare reassignment NPD
• Walgreen Louisiana Co Inc

  dba Walgreens #06219

  • Pharmacy
  • Lake Charles, LA
  • NPI 1629084017
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1477619955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 PARKRIDGE DR",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631715",
            "telephone_number": "610-566-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 PARKRIDGE DR",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631715",
            "telephone_number": "610-566-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATERSON",
        "first_name": "GEOFFREY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "5619",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG1759",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1124",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3083",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I3-0001255",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1991155",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mahen Patel
• Mitesh M Patel, PHARMD
• Pranesh N Patel, MD
• Rajesh Patel, MD
• Urvi A Patel, DO
• Bajeerao Patil
• John Robert Patro Jr., MS, OTR/L
• Christie Lynn Pattie Parrish, PSY.D.
• Marie Blandine Paul Shumba, MA
• Pat Pawling, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.