Organization Active NPI

Valley Eye Group, P.C.

  • Ophthalmology Physician
  • Fountain Hill, PA
National Provider Identifier
1679075402
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD442136 Issued in PA
Legal business name
VALLEY EYE GROUP, P.C.
Practice address
522 Delaware Ave
Fountain Hill, PA 18015-1180
Phone
(610) 861-8977
Fax
(610) 861-9339
NPI assigned
Mar 7, 2018
Last updated
May 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Dr. Karen I Dacey, M.D.NPI 1982786315
Title
Principal/Physician
Phone
(610) 861-8977

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
Ophthalmology Physician 207W00000X MD442136 PA Primary

Addresses

Primary practice location

522 Delaware Ave
Fountain Hill, PA 18015-1180

Mailing address

522 Delaware Ave
Fountain Hill, PA 18015-1180
Phone (610) 861-8977

Other practice location 1

190 Brodhead Rd Ste 201
Bethlehem, PA 18017-8617
Phone (610) 861-8977

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180509002223 PA Part B Supplier - Clinic/Group Practice 8123382629 Receives reassigned benefits from 3 practitioners
Practice locations: Bethlehem, PA

National Provider Directory

National Provider Directory

Locations

190 Brodhead Rd
Ste 201
Bethlehem, PA 18017
Phone (610) 861-8977

Practitioners & affiliated clinicians

Practitioners 4

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": "1520380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1679075402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 DELAWARE AVE",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180151180",
            "telephone_number": "610-861-8977",
            "fax_number": "610-861-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 DELAWARE AVE",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180151180",
            "telephone_number": "610-861-8977",
            "fax_number": "610-861-9339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 Brodhead Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180178617",
            "country_code": "US",
            "telephone_number": "610-861-8977",
            "fax_number": "610-861-9339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VALLEY EYE GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-07",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "DACEY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRINCIPAL/PHYSICIAN",
        "authorized_official_telephone_number": "610-861-8977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD442136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.