Organization Active NPI

Ophthalmic Partners of Pennsylvania, PC

  • Ophthalmology Physician
  • Tamaqua, PA
National Provider Identifier
1619148665
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
OPHTHALMIC PARTNERS OF PENNSYLVANIA, PC
Practice address
37 Medical Crossing Rd
Tamaqua, PA 18252-5565
Phone
(570) 386-5926
Fax
(570) 386-2959
NPI assigned
Mar 18, 2008
Last updated
Mar 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Julia Lee
Title
Authorized Representative
Phone
(570) 386-5926

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X PA Primary

Addresses

Primary practice location

37 Medical Crossing Rd
Tamaqua, PA 18252-5565

Mailing address

37 Medical Crossing Rd
Tamaqua, PA 18252-5565
Phone (570) 386-5926

Other identifiers 1

IdentifierTypeStateIssuer
0010607290009MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1619148665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 MEDICAL CROSSING RD",
            "city": "TAMAQUA",
            "state": "PA",
            "postal_code": "182525565",
            "telephone_number": "570-386-5926",
            "fax_number": "570-386-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 MEDICAL CROSSING RD",
            "city": "TAMAQUA",
            "state": "PA",
            "postal_code": "182525565",
            "telephone_number": "570-386-5926",
            "fax_number": "570-386-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMIC PARTNERS OF PENNSYLVANIA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "570-386-5926"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010607290009",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamaqua, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.