NPIMap

Organization Active NPI

Eye to Eye Contact Assoc PC

  • Optometrist
  • Havertown, PA
National Provider Identifier
1689733636
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OE005472T Issued in PA
Legal business name
EYE TO EYE CONTACT ASSOC PC
Practice address
1404 W Chester Pike
Havertown, PA 19083-2813
Phone
(610) 853-2001
Fax
(610) 853-3774
NPI assigned
Dec 6, 2006
Last updated
Sep 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Authorized official

Name
Steven Mark Berger, O.D.NPI 1639217805
Title
Owner
Phone
(610) 853-2001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OE005472T PA Primary

Addresses

Primary practice location

1404 W Chester Pike
Havertown, PA 19083-2813

Mailing address

1404 W Chester Pike
Havertown, PA 19083-2813
Phone (610) 853-2001

Other identifiers 1

IdentifierTypeStateIssuer
BEO55643OtherPABLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1404 W Chester Pike
Havertown, PA 19083
Phone (610) 853-2001

Practitioners & affiliated clinicians

Practitioners 1

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": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1689733636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 W CHESTER PIKE",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832813",
            "telephone_number": "610-853-2001",
            "fax_number": "610-853-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 W CHESTER PIKE",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832813",
            "telephone_number": "610-853-2001",
            "fax_number": "610-853-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE TO EYE CONTACT ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-853-2001",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE005472T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "BEO55643",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.