Individual provider Active NPI

Emily McDermith, OD

  • Optometrist
  • Philadelphia, PA
National Provider Identifier
1689491110
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG004164 Issued in PA
Practice address
2000 Hamilton St Ste 306
Philadelphia, PA 19130-3847
Phone
(215) 545-5001
NPI assigned
Sep 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG004164 PA Primary

Addresses

Primary practice location

2000 Hamilton St Ste 306
Philadelphia, PA 19130-3847

Mailing address

1901 JFK Blvd Apt 1005
Philadelphia, PA 19103-1507
Phone (207) 890-4618

Other practice location 1

840 Walnut St # 920
Philadelphia, PA 19107-5109
Phone (215) 928-3180

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241011000020 PA Practitioner - Optometry 5193257483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wills Eye Ophthalmology Clinic, IncGroup PAC ID 9133025166, 146 clinicians

Practice addresses (Care Compare)

840 Walnut St
Philadelphia, PA 19107-5109
Phone (215) 928-3041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG004164PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wills Eye Ophthalmology Clinic, Inc Optometrist CurrentSince Oct 1, 2024 Accepting new patients
Corneal Associates, PC Past Accepting new patients

Locations

840 Walnut St
Ste 1230
Philadelphia, PA 19107
Phone (215) 440-3160

2000 Hamilton St
Ste 306
Philadelphia, PA 19130
Phone (215) 525-6821

840 Walnut St
#920
Philadelphia, PA 19107
Phone (215) 928-3180

Interoperability endpoints

  • Direct secure messaging: emily.mcdermith.p1@direct.willseye.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1689491110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 JFK BLVD APT 1005",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031507",
            "telephone_number": "207-890-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 HAMILTON ST STE 306",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303847",
            "telephone_number": "215-545-5001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 Walnut St # 920",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191075109",
            "country_code": "US",
            "telephone_number": "215-928-3180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDERMITH",
        "first_name": "EMILY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG004164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.