Organization Active NPI

Everlasting Eye Care 2, LLC.

  • Optometrist
  • Reading, PA
National Provider Identifier
1679060404
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001996 Issued in PA
Legal business name
EVERLASTING EYE CARE 2, LLC.
Practice address
5900 Perkiomen Ave
Reading, PA 19606-3635
Phone
(610) 349-1066
NPI assigned
Apr 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Authorized official

Name
Dr. Myan Thi Nguyen, ODNPI 1336331610
Title
President/Owner
Phone
(610) 491-0663

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
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OEG001996 PA Primary

Addresses

Primary practice location

5900 Perkiomen Ave
Reading, PA 19606-3635

Mailing address

9 Buckwalter Cir
Royersford, PA 19468-2733

Other identifiers 2

IdentifierTypeStateIssuer
OEG001996OtherPAOPTOMETRIST
1336331610OtherPAOPTOMETRIST

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200227001826 PA Part B Supplier - Clinic/Group Practice 5092142257 Receives reassigned benefits from 1 practitioner
Practice locations: Norristown, PA

National Provider Directory

National Provider Directory

Locations

503 W Germantown Pike
Norristown, PA 19403
Phone (610) 313-3191

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1679060404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BUCKWALTER CIR",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194682733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 PERKIOMEN AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196063635",
            "telephone_number": "610-349-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERLASTING EYE CARE 2, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MYAN",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "610-491-0663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRIST",
            "identifier": "OEG001996",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRIST",
            "identifier": "1336331610",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.