Organization Active NPI

Alpha Eye Wyomissing, LLC

  • Optometrist
  • Wyomissing, PA
National Provider Identifier
1497279095
Registry record updated Jul 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000944 Issued in PA
Legal business name
ALPHA EYE WYOMISSING, LLC
Practice address
714 Woodland Rd
Wyomissing, PA 19610-3231
Phone
(610) 376-7272
NPI assigned
Jul 26, 2017
Last updated
Jul 26, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2017

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

Authorized official

Name
Rob Levin
Title
Director Billing & Credentialing
Phone
(215) 497-1001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000944 PA Primary

Addresses

Primary practice location

714 Woodland Rd
Wyomissing, PA 19610-3231

Mailing address

3070 Bristol Pike Ste 2-220
Bensalem, PA 19020-5361
Phone (215) 497-1001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171207001455 PA Part B Supplier - Clinic/Group Practice 4082971585 Receives reassigned benefits from 7 practitioners
Practice locations: North Wales, PA; Wyomissing, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501027200000",
    "number": "1497279095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 BRISTOL PIKE STE 2-220",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205361",
            "telephone_number": "215-497-1001",
            "fax_number": "215-639-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 WOODLAND RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103231",
            "telephone_number": "610-376-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA EYE WYOMISSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2017-07-26",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "DIRECTOR BILLING & CREDENTIALING",
        "authorized_official_telephone_number": "215-497-1001"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; 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.