Eyecare Doctor LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OET008805 Issued in PA

Legal business name

EYECARE DOCTOR LLC

Practice address

1172 Graystone Rd
Manheim, PA 17545-8822

Phone

(717) 917-6363

Fax

(717) 459-3482

NPI assigned

Feb 26, 2017

Last updated

Jan 8, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Cheryl Kay Hudish, ODNPI 1639166507

Title

Optometrist

Phone

(717) 917-6363

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

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.

• Cheryl K Hudish, O.D.

  • Optometrist
  • Manheim, PA
  • NPI 1639166507
  Medicare reassignment NPD Authorized official
• Miranda Maney, OD

  • Optometrist
  • Manheim, PA
  • NPI 1861382459
  Medicare reassignment NPD

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

{
    "created_epoch": "1488067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1659811511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 LANCASTER RD",
            "city": "MANHEIM",
            "state": "PA",
            "postal_code": "175459768",
            "telephone_number": "717-879-6900",
            "fax_number": "717-879-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 GRAYSTONE RD",
            "city": "MANHEIM",
            "state": "PA",
            "postal_code": "175458822",
            "telephone_number": "717-917-6363",
            "fax_number": "717-459-3482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE DOCTOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-26",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "HUDISH",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "717-917-6363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OET008805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Manheim, PA
• Providers in Manheim, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.