Individual provider Active NPI

Pinal Dave, O.D.

  • Optometrist
  • Huntingdon Valley, PA
National Provider Identifier
1699188003
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002912 Issued in PA
Practice address
1924 County Line Rd
Huntingdon Valley, PA 19006-1738
Phone
(215) 357-9011
NPI assigned
Jun 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002912 PA Primary

Addresses

Primary practice location

1924 County Line Rd
Huntingdon Valley, PA 19006-1738

Mailing address

1924 County Line Rd
Huntingdon Valley, PA 19006-1738
Phone (215) 357-9011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160211002694 PA Practitioner - Optometry 3173827177 Reassigns benefits to 3 organizations
I20221031000066 NJ Practitioner - Optometry 3173827177

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Pennsylvania Professional IncGroup PAC ID 7719218593, 80 clinicians

Practice addresses (Care Compare)

710 Floral Vale Blvd
Yardley, PA 19067-5529
Phone (215) 550-6273

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Campus Eye Group, LLC Optometrist CurrentSince Aug 9, 2022 Accepting new patients
Campus Eye Group ASC, LLC Current Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Jun 14, 2024 Accepting new patients
Visual Eyes Optometrist CurrentSince Nov 14, 2015 Accepting new patients
Campus Eye Group, LLC Optometrist CurrentSince Aug 9, 2022 Accepting new patients
Aeg Pennsylvania Professional Inc Optometrist CurrentSince Nov 14, 2023 Accepting new patients
Visionworks, Inc CurrentSince Jun 14, 2024 Accepting new patients

Locations

1700 Whitehorse Hamilton Square Rd
Trenton, NJ 08690
Phone (609) 890-2600

1700 Whitehorse Hamilton Square Rd
Ste A1
Trenton, NJ 08690
Phone (215) 781-2020

560 Millcreek Mall
Erie, PA 16565
Phone (814) 868-8540

93 W Devon Dr
Ste 101
Exton, PA 19341
Phone (610) 363-8960

1924 County Line Rd
Huntingdon Vy, PA 19006
Phone (215) 357-9011

2300 E Lincoln Hwy
Langhorne, PA 19047
Phone (215) 750-3760

187 Scharberry Ln
Mars, PA 16046
Phone (724) 591-5501

710 Floral Vale Blvd
Yardley, PA 19067
Phone (215) 240-6378

Organizations & group practices 7

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": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1699188003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 COUNTY LINE RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061738",
            "telephone_number": "215-357-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 COUNTY LINE RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061738",
            "telephone_number": "215-357-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVE",
        "first_name": "PINAL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

Verify at the official NPI Registry.