Active NPI
Justin Sherman, OD
- Optometrist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG003226
- Practice address
- 1930 S Broad St Unit 9
Philadelphia, PA 19145-2328 - Phone
- (800) 448-6767
- Fax
- (215) 339-8103
- NPI assigned
- Sep 8, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG003226 | PA | Primary |
Addresses
Primary practice location
1930 S Broad St Unit 9
Philadelphia, PA 19145-2328
Mailing address
303 Horsham Rd Ste G
Horsham, PA 19044-2029
Phone (267) 965-2599
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3475 W Chester Pike
Suite 100 Moa Medical Practices PC Newtown
Newtown Square, PA 19073-4281
Phone (610) 422-7999
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moa Medical Practices PC | Optometrist | Current | Accepting new patients |
| Philadelphia Eye Associates | Optometrist | Current | Accepting new patients |
| Philadelphia Eye Associates | Current | Accepting new patients |
Locations
303 Horsham Rd
Ste G
Horsham, PA 19044
Phone (267) 965-2599
781 Far Hills Dr
Ste 100
New Freedom, PA 17349
Phone (571) 291-9779
3475 West Chester Pike
Ste 100
Newtown Square, PA 19073
Phone (610) 422-7999
1420 Walnut St
Ste 600
Philadelphia, PA 19102
Phone (215) 735-6300
840 Walnut St
Ste 1230
Philadelphia, PA 19107
Phone (215) 440-3160
1930 S Broad St
Unit 9
Philadelphia, PA 19145
Phone (215) 339-8100
1703 S Broad St
Philadelphia, PA 19148
Phone (215) 339-8100
840 Walnut St
Philadelphia, PA 19107
Phone (215) 440-3150
8025 Roosevelt Blvd
Philadelphia, PA 19152
Phone (215) 423-5154
633 W Germantown Pike
Ste 100A
Plymouth Meeting, PA 19462
Phone (610) 275-0660
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 and National Provider Directory roles.
-
- Optometrist
- Horsham, PA
- NPI 1447877337
-
- Durable Medical Equipment & Medical Supplies
- Philadelphia, PA
- NPI 1982294013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1669929501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 HORSHAM RD STE G",
"city": "HORSHAM",
"state": "PA",
"postal_code": "190442029",
"telephone_number": "267-965-2599",
"fax_number": "267-965-2598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 S BROAD ST UNIT 9",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191452328",
"telephone_number": "800-448-6767",
"fax_number": "215-339-8103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERMAN",
"first_name": "JUSTIN",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-08",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG003226",
"primary": true
}
],
"identifiers": [],
"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 Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.