Richard P Christoph

Individual provider Active NPI Optometrist · Gilbertsville, PA

NPI 1528021284 · NPPES record last updated Aug 24, 2022

Key facts

NPI
1528021284
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
OEG001619 (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
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Optometry
Education
Pennsylvania College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Family Eyecare, LTD (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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
OEG001619PAMDOptometrist

Practice roles

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

Locations

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001619 PA Yes

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

Other providers in Gilbertsville, PA

All providers in Gilbertsville, PA · Optometrist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.