NPIMap

Organization Active NPI

Premier Eye Care Group, Inc

  • Durable Medical Equipment & Medical Supplies
  • Camp Hill, PA
National Provider Identifier
1578795753
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
6000005372 Issued in PA
Legal business name
PREMIER EYE CARE GROUP, INC
Practice address
1524 Cedar Cliff Dr
Camp Hill, PA 17011-7700
Phone
(717) 761-3077
Fax
(717) 761-1186
NPI assigned
Aug 20, 2009
Last updated
Aug 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Authorized official

Name
Mrs. April Butts, M.S.
Title
Economics Officer
Phone
(717) 232-0797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 6000005372 PA Primary

Addresses

Primary practice location

1524 Cedar Cliff Dr
Camp Hill, PA 17011-7700

Mailing address

92 Tuscarora St
Harrisburg, PA 17104-1667
Phone (717) 232-0797

Other identifiers 1

IdentifierTypeStateIssuer
1007738030002MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Premier Eye Care Group Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1524 Cedar Cliff Dr
Camp Hill, PA 17011
Phone (717) 494-4500

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1578795753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 TUSCARORA ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041667",
            "telephone_number": "717-232-0797",
            "fax_number": "717-232-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 CEDAR CLIFF DR",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170117700",
            "telephone_number": "717-761-3077",
            "fax_number": "717-761-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER EYE CARE GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "BUTTS",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "ECONOMICS OFFICER",
        "authorized_official_telephone_number": "717-232-0797",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "6000005372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007738030002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.