Active NPI
Laverda Monique Richards, O.D.
- Optometrist
- Philadelphia, PA
National Provider Identifier
1497959456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OL-049
- Practice address
- 3212 W Cheltenham Ave
Philadelphia, PA 19150-1003 - Phone
- (215) 885-1200
- Fax
- (215) 885-8807
- NPI assigned
- Jun 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 13-0001387 | DE | |
| Optometrist | 152W00000X | OL-049 | GU | Primary |
| Optometrist | 152W00000X | OE008223T | PA |
Addresses
Primary practice location
3212 W Cheltenham Ave
Philadelphia, PA 19150-1003
Mailing address
1316 W Chester Pike Apt C7
West Chester, PA 19382-6435
Phone (610) 761-4760
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, DE, GU
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13-0001387 | DE | MD | Optometrist |
| OL-049 | GU | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Physicians & Surgeons, PA | Optometrist | Current | Accepting new patients |
| Eye Physicians & Surgeons, PA | Optometrist | Current | Accepting new patients |
| General Conference Corp of Sda | Multi-Specialty | Current | Accepting new patients |
| Simon Eye Associates PA | Optometrist | Current | Accepting new patients |
Locations
5301 Limestone Rd
Ste 128
Wilmington, DE 19808
912 N Union St
Wilmington, DE 19805
Phone (302) 655-8180
1207 N Scott St
Wilmington, DE 19806
Phone (302) 428-9900
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Wilmington, DE
- NPI 1205871506
-
- Health Service Clinic/Center
- Oreland, PA
- NPI 1417300849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626134400000",
"number": "1497959456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1316 W CHESTER PIKE APT C7",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193826435",
"telephone_number": "610-761-4760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3212 W CHELTENHAM AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191501003",
"telephone_number": "215-885-1200",
"fax_number": "215-885-8807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "LAVERDA",
"middle_name": "MONIQUE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2021-07-13",
"certification_date": "2021-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "DE",
"license": "13-0001387",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "GU",
"license": "OL-049",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OE008223T",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.