Modern Optometry, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000070 Issued in PA

Legal business name

MODERN OPTOMETRY, INC.

Practice address

3300 Grant Ave Ste 21
Philadelphia, PA 19114-2632

Phone

(215) 335-9090

Fax

(215) 333-5225

NPI assigned

Jan 20, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Rebecca Verna, O.D.NPI 1821290792

Title

President

Phone

(610) 662-4855

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

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

• Rebecca Verna, O.D.

  • Optometrist
  • Philadelphia, PA
  • NPI 1821290792
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1497144083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 GRANT AVE STE 21",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142632",
            "telephone_number": "215-335-9090",
            "fax_number": "215-333-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 GRANT AVE STE 21",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142632",
            "telephone_number": "215-335-9090",
            "fax_number": "215-333-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-20",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "VERNA",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-662-4855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather J Moday, M.D.
• Modern Dentistry and Cosmetology Center
• Modern Eye Inc
• Modern Family Dental
• Modern Health Home Care
• Modern Relationships LLC
• Modern Wellness Collective LLC
• Modernminds Wellness Care PLLC
• Irma Modesto, MA
• Modesty Home Care LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.