Organization Active NPI

Berks Family Eyecare P C

  • Durable Medical Equipment & Medical Supplies
  • Birdsboro, PA
National Provider Identifier
1669470209
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
OEG000172 Issued in PA
Legal business name
BERKS FAMILY EYECARE P C
Practice address
224 N Mill St
Birdsboro, PA 19508-2028
Phone
(610) 582-6000
Fax
(610) 582-6002
NPI assigned
Jul 8, 2005
Last updated
Oct 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Authorized official

Name
Dawn E Hornberger, O.D.NPI 1821094137
Title
President
Phone
(610) 678-7202

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
Durable Medical Equipment & Medical Supplies 332B00000X OEG000172 PA Primary

Addresses

Primary practice location

224 N Mill St
Birdsboro, PA 19508-2028

Mailing address

247 E Penn Ave
Wernersville, PA 19565-1613
Phone (610) 678-7202

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930034517 PA DME Supplier - Physician - Optometrist 6709983109 Practice locations: Birdsboro, PA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Berks Family Eyecare P C224 N Mill St, Birdsboro, PA 19508-2028(610) 582-6000 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 2007

National Provider Directory

National Provider Directory
Tax ID family
Berks Family Eyecare P C3 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.

Practitioners & affiliated clinicians

Practitioners 1

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": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1669470209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 E PENN AVE",
            "city": "WERNERSVILLE",
            "state": "PA",
            "postal_code": "195651613",
            "telephone_number": "610-678-7202",
            "fax_number": "610-678-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 N MILL ST",
            "city": "BIRDSBORO",
            "state": "PA",
            "postal_code": "195082028",
            "telephone_number": "610-582-6000",
            "fax_number": "610-582-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKS FAMILY EYECARE P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "HORNBERGER",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-678-7202",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "OEG000172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birdsboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.