Individual provider Active NPI

Richard P Christoph

  • Optometrist
  • Gilbertsville, PA
National Provider Identifier
1528021284
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001619 Issued in PA
Practice address
1806 Swamp Pike Ste 400
Gilbertsville, PA 19525-9307
Phone
(610) 323-4445
Fax
(610) 323-4377
NPI assigned
Apr 11, 2006
Last updated
Aug 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001619 PA Primary

Addresses

Primary practice location

1806 Swamp Pike Ste 400
Gilbertsville, PA 19525-9307

Mailing address

2444 Garfield Ave
West Lawn, PA 19609-1902
Phone (610) 921-1638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031201000426 PA Practitioner - Optometry 1254236581 Reassigns benefits to 1 organization
Practice locations: Temple, PA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Family Eyecare, LTDGroup PAC ID 4688746258, 5 clinicians

Practice addresses (Care Compare)

1806 Swamp Pike
Suite 400
Gilbertsville, PA 19525-9307
Phone (610) 323-4445

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG001619PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Family Eyecare, LTD Optometrist CurrentSince May 16, 2022 Accepting new patients

Locations

1806 Swamp Pike
#400
Gilbertsville, PA 19525
Phone (610) 323-4445

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1528021284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2444 GARFIELD AVE",
            "city": "WEST LAWN",
            "state": "PA",
            "postal_code": "196091902",
            "telephone_number": "610-921-1638",
            "fax_number": "610-921-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 SWAMP PIKE STE 400",
            "city": "GILBERTSVILLE",
            "state": "PA",
            "postal_code": "195259307",
            "telephone_number": "610-323-4445",
            "fax_number": "610-323-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTOPH",
        "first_name": "RICHARD",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbertsville, PA

Sources for this page

Verify at the official NPI Registry.