NPIMap

Organization Active NPI

Ophthalmic Surgical Associates Inc

  • Ophthalmology Physician
  • Chester, PA
National Provider Identifier
1619921327
Registry record updated Nov 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
OPHTHALMIC SURGICAL ASSOCIATES INC
Practice address
30 Medical Center Blvd Ste 104
Chester, PA 19013-3955
Phone
(610) 874-5261
Fax
(610) 874-0318
NPI assigned
May 19, 2006
Last updated
Nov 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2020

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

Authorized official

Name
Christopher A Williams, M.D.NPI 1225001845
Title
President
Phone
(610) 874-5261

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

30 Medical Center Blvd Ste 104
Chester, PA 19013-3955

Mailing address

30 Medical Center Blvd Ste 104
Chester, PA 19013-3955
Phone (610) 874-5261

Other practice location 1

100 Maris Grove Way
Glen Mills, PA 19342-1282
Phone (610) 874-5261

Other practice location 2

2 W Baltimore Ave
Media, PA 19063-3740
Phone (610) 874-5261

Other practice location 3

300 Evergreen Dr Ste 100
Glen Mills, PA 19342-1059
Phone (610) 874-5261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040728001437 PA Part B Supplier - Clinic/Group Practice 7214907054 Receives reassigned benefits from 8 practitioners
Practice locations: Chester, PA; Glen Mills, PA; Media, PA
O20210128000026 DE Part B Supplier - Clinic/Group Practice 7214907054 Receives reassigned benefits from 1 practitioner
Practice locations: Wilmington, DE

National Provider Directory

National Provider Directory
Tax ID family
Ophthalmic Surg Assoc Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

30 Medical Center Blvd
Ste 104
Chester, PA 19013
Phone (610) 619-8590

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 9

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": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604188800000",
    "number": "1619921327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MEDICAL CENTER BLVD STE 104",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133955",
            "telephone_number": "610-874-5261",
            "fax_number": "610-874-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MEDICAL CENTER BLVD STE 104",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133955",
            "telephone_number": "610-874-5261",
            "fax_number": "610-874-0318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Maris Grove Way",
            "address_purpose": "LOCATION",
            "city": "Glen Mills",
            "state": "PA",
            "postal_code": "193421282",
            "country_code": "US",
            "telephone_number": "610-874-5261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 W Baltimore Ave",
            "address_purpose": "LOCATION",
            "city": "Media",
            "state": "PA",
            "postal_code": "190633740",
            "country_code": "US",
            "telephone_number": "610-874-5261",
            "fax_number": "610-874-0318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Evergreen Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Glen Mills",
            "state": "PA",
            "postal_code": "193421059",
            "country_code": "US",
            "telephone_number": "610-874-5261",
            "fax_number": "610-874-0318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPHTHALMIC SURGICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-11-01",
        "certification_date": "2020-11-01",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-874-5261",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.