Organization Active NPI

Professional Eye Associates

Doing business as Visionnaires

  • Optometrist
  • Easton, PA
National Provider Identifier
1548546195
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000760 Issued in PA
Legal business name
PROFESSIONAL EYE ASSOCIATES
Doing business as
Visionnaires
Practice address
3770 Dryland Way
Suite D600
Easton, PA 18045-8353
Phone
(610) 253-2299
Fax
(610) 253-2282
NPI assigned
Oct 27, 2011
Last updated
Oct 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Authorized official

Name
Mr. Steven R. Demko, O.D.NPI 1114968948
Title
Owner
Phone
(570) 839-2221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000760 PA Primary

Addresses

Primary practice location

3770 Dryland Way
Suite D600
Easton, PA 18045-8353

Mailing address

3770 Dryland Way
Suite D600
Easton, PA 18045-8353
Phone (610) 253-2299

Other names 1

  • Visionnaires Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Professional Eye Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1548546195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3770 DRYLAND WAY",
            "address_2": "SUITE D600",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180458353",
            "telephone_number": "610-253-2299",
            "fax_number": "610-253-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 DRYLAND WAY",
            "address_2": "SUITE D600",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180458353",
            "telephone_number": "610-253-2299",
            "fax_number": "610-253-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "DEMKO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-839-2221",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visionnaires",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.