Individual provider Active NPI

Gurjeet S Rai, OD

  • Optometrist
  • Broomall, PA
National Provider Identifier
1669152955
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG004013 Issued in PA
Practice address
20 Schoolhouse LN
Broomall, PA 19008-1830
Phone
(484) 802-2404
NPI assigned
Jul 20, 2023
Last updated
Jul 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG004013 PA Primary

Addresses

Primary practice location

20 Schoolhouse LN
Broomall, PA 19008-1830

Mailing address

20 Schoolhouse LN
Broomall, PA 19008-1830
Phone (484) 802-2404

Other practice location 1

915 Old Fern Hill Rd Ste 200
West Chester, PA 19380-3433
Phone (610) 696-1230

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
I20230912000566 PA Practitioner - Optometry 5698139525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chester County Eye Care Assoc PCGroup PAC ID 3375437502, 12 clinicians

Practice addresses (Care Compare)

915 Old Fern Hill Rd
Suite 200
West Chester, PA 19380-3433
Phone (610) 696-1230

Merit-based Incentive Payment System (MIPS)

Final score
92.95 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
76.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG004013PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Chester County Eye Care Associates, PC Optometrist CurrentSince Jul 9, 2023 Accepting new patients
Chester County Eye Care Assoc PC Optometrist CurrentSince Jul 9, 2023 Accepting new patients

Locations

740 W Lincoln Hwy
Exton, PA 19341
Phone (610) 594-7444

325 Central Ave
Ste 101
Malvern, PA 19355
Phone (610) 644-0408

915 Old Fern Hill Rd
Bldg B
West Chester, PA 19380
Phone (610) 696-1230

915 Old Fern Hill Rd
Ste 200
West Chester, PA 19380
Phone (610) 696-1230

1011 W Baltimore Pike
Ste 203
West Grove, PA 19390
Phone (610) 696-1230

Interoperability endpoints

  • Direct secure messaging: grai@cceyecare.emadirect.md

Organizations & group practices 2

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": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1669152955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SCHOOLHOUSE LN",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190081830",
            "telephone_number": "484-802-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SCHOOLHOUSE LN",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190081830",
            "telephone_number": "484-802-2404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 Old Fern Hill Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "PA",
            "postal_code": "193803433",
            "country_code": "US",
            "telephone_number": "610-696-1230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAI",
        "first_name": "GURJEET",
        "middle_name": "S",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG004013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomall, PA

Sources for this page

Verify at the official NPI Registry.