Active NPI
Ocular Telehealth Management, LLC
- Ophthalmology Physician
- Media, PA
National Provider Identifier
1508899618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- OCULAR TELEHEALTH MANAGEMENT, LLC
- Practice address
- 1068 W Baltimore Pike
Media, PA 19063-5104 - Phone
- (610) 688-8152
- Fax
- (610) 688-3641
- NPI assigned
- Jul 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Shae Reber
- Title
- Administrator
- Phone
- (215) 317-2622
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
1068 W Baltimore Pike
Media, PA 19063-5104
Mailing address
565 E Swedesford Rd
Suite 200
Wayne, PA 19087-1611
Phone (610) 688-8152
National Provider Directory
National Provider DirectoryLocations
565 E Swedesford Rd
Ste 200
Wayne, PA 19087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206662400000",
"number": "1508899618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "565 E SWEDESFORD RD",
"address_2": "SUITE 200",
"city": "WAYNE",
"state": "PA",
"postal_code": "190871611",
"telephone_number": "610-688-8152",
"fax_number": "610-688-3641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1068 W BALTIMORE PIKE",
"city": "MEDIA",
"state": "PA",
"postal_code": "190635104",
"telephone_number": "610-688-8152",
"fax_number": "610-688-3641"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCULAR TELEHEALTH MANAGEMENT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"last_updated": "2008-03-28",
"status": "A",
"authorized_official_last_name": "REBER",
"authorized_official_first_name": "SHAE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "215-317-2622",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.