Organization Active NPI

Ophthalmic Associates of Fort Washington

  • Optician
  • Fort Washington, PA
National Provider Identifier
1528007598
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
6000001972 Issued in PA
Legal business name
OPHTHALMIC ASSOCIATES OF FORT WASHINGTON
Practice address
1244 Fort Washington Ave
Fort Washington, PA 19034-1743
Phone
(215) 643-2730
NPI assigned
Jun 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robin Moore
Title
Accounting Manager
Phone
(215) 643-2730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 6000001972 PA Primary

Addresses

Primary practice location

1244 Fort Washington Ave
Fort Washington, PA 19034-1743

Mailing address

1244 Fort Washington Ave
Fort Washington, PA 19034-1743
Phone (215) 643-2730

Other identifiers 1

IdentifierTypeStateIssuer
862109OtherPABLUE SHIELD NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Ophthalmic Associates of Fort Washington3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528007598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 FORT WASHINGTON AVE",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190341743",
            "telephone_number": "215-643-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 FORT WASHINGTON AVE",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190341743",
            "telephone_number": "215-643-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMIC ASSOCIATES OF FORT WASHINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "ACCOUNTING MANAGER",
        "authorized_official_telephone_number": "215-643-2730"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "PA",
            "license": "6000001972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD NUMBER",
            "identifier": "862109",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.