Individual provider Active NPI

Kelly Marie Epstein, O.D.

  • Optometrist
  • King of Prussia, PA
National Provider Identifier
1649619206
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002765 Issued in PA
Practice address
901 E 8TH Ave Ste 101
King of Prussia, PA 19406-1354
Phone
(610) 265-1188
NPI assigned
Jun 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002765 PA Primary

Addresses

Primary practice location

901 E 8TH Ave Ste 101
King of Prussia, PA 19406-1354

Mailing address

901 E 8TH Ave Ste 101
King of Prussia, PA 19406-1354
Phone (610) 265-1188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131112001584 PA Practitioner - Optometry 8224264700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Your Eye Associates LLCGroup PAC ID 4688087885, 6 clinicians

Practice addresses (Care Compare)

426 Main St
Harleysville, PA 19438-2350
Phone (215) 256-6735

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Your Eye Associates LLC Optometrist CurrentSince Apr 1, 2022 Accepting new patients
Your Eye Associates LLC Optometrist Past Accepting new patients
Your Eye Associates LLC Optometrist Past Accepting new patients

Locations

2339 N Broad St
Colmar, PA 18915
Phone (215) 897-4535

426 Main St
Harleysville, PA 19438
Phone (215) 256-6735

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1649619206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 8TH AVE STE 101",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061354",
            "telephone_number": "610-265-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E 8TH AVE STE 101",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061354",
            "telephone_number": "610-265-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPSTEIN",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.