Organization Active NPI

Delaware Ophthalmology Consultants PA

Doing business as DOC Optical Center

  • Eyewear Supplier
  • Wilmington, DE
National Provider Identifier
1679912174
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
DELAWARE OPHTHALMOLOGY CONSULTANTS PA
Doing business as
DOC Optical Center
Practice address
1941 Limestone Rd
Suite 120
Wilmington, DE 19808-5408
Phone
(302) 479-3937
Fax
(302) 477-2650
NPI assigned
Jun 18, 2013
Last updated
Nov 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Authorized official

Name
Michael Donahue
Title
It Manager
Phone
(302) 477-2611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1941 Limestone Rd
Suite 120
Wilmington, DE 19808-5408

Mailing address

3501 Silverside Rd
Wilmington, DE 19810-4910
Phone (302) 477-2626

Other names 1

  • DOC Optical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131011000496 DE DME Supplier - Physician - OphthalmologyDME Supplier - Physician - Optometrist 0446247712 Practice locations: Wilmington, DE

Other NPIs with the same Medicare PAC ID 3

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
Delaware Ophthalmology Consultants1941 Limestone Rd, Wilmington, DE 19808-5400(302) 479-3937 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Mar 8, 1988

National Provider Directory

National Provider Directory
Tax ID family
Delaware Ophthalmology3 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.

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1679912174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 SILVERSIDE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104910",
            "telephone_number": "302-477-2626",
            "fax_number": "302-477-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 LIMESTONE RD",
            "address_2": "SUITE 120",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085408",
            "telephone_number": "302-479-3937",
            "fax_number": "302-477-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE OPHTHALMOLOGY CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "DONAHUE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "IT MANAGER",
        "authorized_official_telephone_number": "302-477-2611"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOC Optical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.