Delaware Valley Vision Associates Group Practice LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DELAWARE VALLEY VISION ASSOCIATES GROUP PRACTICE LLC

Practice address

200 Mall Blvd
King of Prussia, PA 19406-2902

Phone

(610) 337-1580

NPI assigned

Mar 17, 2008

Last updated

Mar 17, 2008By 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

Kim Miller

Title

Billing Manager

Phone

(610) 491-2127

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Delaware Valley Vision Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Delaware Valley Vision Associates Group Practice, LLC

  • Ophthalmology Physician
  • King of Prussia, PA
  • NPI 1902907371
  NPD tax ID

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1477724581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MALL BLVD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062902",
            "telephone_number": "610-337-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MALL BLVD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062902",
            "telephone_number": "610-337-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE VALLEY VISION ASSOCIATES GROUP PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "610-491-2127"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1745652",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Deegan, DC
• Jenelle Deets
• Jennifer Defnet
• Gregory Krikor Deirmengian, MD
• Del Val ASC LLC
• Delaware Valley Vision Associates Group Practice, LLC
• Delaware Vision Associates Group Practice PA
• Kathryn Delone
• Delphi Medical Group
• Angelo Deluca, PHARM.D.

• Optometrist in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.