NPIMap

Organization Active NPI

Fox Chase Family Eye Care LLC

  • Optometrist
  • Philadelphia, PA
National Provider Identifier
1639610629
Registry record updated Nov 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003054 Issued in PA
Legal business name
FOX CHASE FAMILY EYE CARE LLC
Practice address
7834 Oxford Ave
Philadelphia, PA 19111-2219
Phone
(215) 745-0993
NPI assigned
Mar 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2017

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

Authorized official

Name
Uriel Schechter, ODNPI 1144604380
Title
Owner
Phone
(215) 745-0993

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG003054 PA Primary

Addresses

Primary practice location

7834 Oxford Ave
Philadelphia, PA 19111-2219

Mailing address

7834 Oxford Ave
Philadelphia, PA 19111-2219
Phone (215) 745-0993

Other identifiers 7

IdentifierTypeStateIssuer
30228118OtherPAKEYSTONE FIRST
7592991OtherPAAETNA
3936659000OtherPAINDEPENDENCE BLUECROSS KEYSTONE HEALTH PLAN EAST
1144604380OtherCOVENTRY HEALTH AMERICA
1030535100001MedicaidPA
1144604380OtherNJHORIZON BLUECROSS BLUE SHIELD
3311193OtherPAHIGHMARK BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170602000533 PA Part B Supplier - Clinic/Group Practice 9830466416 Receives reassigned benefits from 2 practitioners
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

7834 Oxford Ave
Philadelphia, PA 19111
Phone (215) 745-0993

Practitioners & affiliated clinicians

Practitioners 2

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": "1489104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509580800000",
    "number": "1639610629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7834 OXFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112219",
            "telephone_number": "215-745-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7834 OXFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112219",
            "telephone_number": "215-745-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX CHASE FAMILY EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-11-02",
        "status": "A",
        "authorized_official_last_name": "SCHECHTER",
        "authorized_official_first_name": "URIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-745-0993",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE FIRST",
            "identifier": "30228118",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7592991",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUECROSS KEYSTONE HEALTH PLAN EAST",
            "identifier": "3936659000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTH AMERICA",
            "identifier": "1144604380",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030535100001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BLUECROSS BLUE SHIELD",
            "identifier": "1144604380",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "3311193",
            "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 Nov 2, 2017; 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.