Organization Active NPI

Conshohocken Eye & Laser Center

  • Ophthalmology Physician
  • Conshohocken, PA
National Provider Identifier
1487713806
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CONSHOHOCKEN EYE & LASER CENTER
Practice address
101 W Elm St
Suite 340
Conshohocken, PA 19428-2075
Phone
(610) 397-1747
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Harvey FrachtNPI 1093741043
Title
Owner
Phone
(610) 397-1747

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X PA Primary

Addresses

Primary practice location

101 W Elm St
Suite 340
Conshohocken, PA 19428-2075

Mailing address

101 W Elm St
Suite 340
Conshohocken, PA 19428-2075
Phone (610) 397-1747

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041018000274 PA Part B Supplier - Clinic/Group Practice 6709846413 Receives reassigned benefits from 1 practitioner
Practice locations: Conshohocken, PA

National Provider Directory

National Provider Directory

Locations

101 W Elm St
Ste 340
Conshohocken, PA 19428
Phone (610) 397-1747

625 W Ridge Pike
Ste D100
Conshohocken, PA 19428
Phone (610) 397-1747

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487713806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W ELM ST",
            "address_2": "SUITE 340",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282075",
            "telephone_number": "610-397-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W ELM ST",
            "address_2": "SUITE 340",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282075",
            "telephone_number": "610-397-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSHOHOCKEN EYE & LASER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRACHT",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-397-1747",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conshohocken, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.