NPIMap

Organization Active NPI

West Philadelphia Eye Assoc

  • Occupational Vision Optometrist
  • Philadelphia, PA
National Provider Identifier
1568480424
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Vision OptometristTaxonomy code 152WX0102X
License
OEG000507 Issued in PA
Legal business name
WEST PHILADELPHIA EYE ASSOC
Practice address
501 S 54TH St
Suite 25
Philadelphia, PA 19143-1900
Phone
(215) 748-0185
Fax
(215) 748-0180
NPI assigned
Jul 18, 2006
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
Dr. Dat D Duong, D.O.
Title
Doctor
Phone
(215) 748-0185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Vision OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WX0102X OEG000507 PA Primary

Addresses

Primary practice location

501 S 54TH St
Suite 25
Philadelphia, PA 19143-1900

Mailing address

501 S 54TH St
Suite 25
Philadelphia, PA 19143-1900
Phone (215) 748-0185

Other identifiers 2

IdentifierTypeStateIssuer
1435485OtherPAPERSONAL CHOICE/BLUE CHOI
2119844000OtherPAKEYSTONE HEALTH PLAN EAST

National Provider Directory

National Provider Directory

Locations

501 S 54th St
Ste 25
Philadelphia, PA 19143
Phone (215) 748-0185

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568480424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S 54TH ST",
            "address_2": "SUITE 25",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191431900",
            "telephone_number": "215-748-0185",
            "fax_number": "215-748-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S 54TH ST",
            "address_2": "SUITE 25",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191431900",
            "telephone_number": "215-748-0185",
            "fax_number": "215-748-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PHILADELPHIA EYE ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "DAT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "215-748-0185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "152WX0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Occupational Vision",
            "state": "PA",
            "license": "OEG000507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE/BLUE CHOI",
            "identifier": "1435485",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "2119844000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, 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.