Designer Family Eyecare, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

DESIGNER FAMILY EYECARE, LLC

Practice address

3015 Eastern Blvd
York, PA 17402-3042

Phone

(717) 600-2020

Fax

(717) 600-2001

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Amy L Spotts, O.D.NPI 1932265519

Title

Optometrist

Phone

(717) 600-2020

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 5

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

• Amy L R Spotts, O.D.

  • Optometrist
  • York, PA
  • NPI 1932265519
  Medicare reassignment Authorized official
• Susan E Martin, CNM

  • Advanced Practice Midwife
  • York, PA
  • NPI 1710919873
  NPD (past)
• Michael Paul Russo, MD

  • Obstetrics & Gynecology Physician
  • York, PA
  • NPI 1003840505
  NPD (past)
• Nancy C Shenck, CRNP

  • Obstetrics & Gynecology Nurse Practitioner
  • York, PA
  • NPI 1255361994
  NPD (past)
• Tracey P Grim, MD

  • Obstetrics & Gynecology Physician
  • Milford, DE
  • NPI 1447282116
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1487796421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 EASTERN BLVD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174023042",
            "telephone_number": "717-600-2020",
            "fax_number": "717-600-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 EASTERN BLVD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174023042",
            "telephone_number": "717-600-2020",
            "fax_number": "717-600-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESIGNER FAMILY EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "SPOTTS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "717-600-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103180881 0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "34005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL VISION ADMINISTR",
            "identifier": "397114",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "WA120010",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David A Derrick, MD
• Heet Desai, MD
• Claudia Desanctis
• Vrushali Deshmukh, MD
• Rashmi Deshpande
• Rebecca Desimone, DPM
• Courtney Marie Dettinger, CRNP
• Erin R Dettrey, PA-C
• Preston Richard Devens, DMD
• Careth Grace Devita, MS, LBS

• Eyewear Supplier in York, PA
• Providers in York, PA by specialty
• Eyewear Supplier in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.