Pediatric Ophthalmology & Strabismus Associates of Southeastern PA

Primary specialty

Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X

License

MD426706 Issued in PA

Legal business name

PEDIATRIC OPHTHALMOLOGY & STRABISMUS ASSOCIATES OF SOUTHEASTERN PA

Practice address

3855 W Chester Pike Ste 335
Newtown Square, PA 19073-2304

Phone

(610) 347-7672

Fax

(610) 347-7673

NPI assigned

Dec 12, 2017

Last updated

Jun 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cynthia AlleyNPI 1427086297

Title

Med Staff

Phone

(215) 292-1698

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

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.

• Cynthia Lee Alley, MD

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1427086297

  Pediatric Ophthalmology and Strabismus Specialist

  Medicare reassignment Care Compare group NPD Authorized official
• Ines M Casado Strine, OD

  • Optometrist
  • Newtown Square, PA
  • NPI 1003881780
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1699280719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 HIGHLAND AVE STE A",
            "city": "HADDON TOWNSHIP",
            "state": "NJ",
            "postal_code": "081082634",
            "telephone_number": "856-470-4776",
            "fax_number": "866-607-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 W CHESTER PIKE STE 335",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190732304",
            "telephone_number": "610-347-7672",
            "fax_number": "610-347-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC OPHTHALMOLOGY & STRABISMUS ASSOCIATES OF SOUTHEASTERN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "ALLEY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "MED STAFF",
        "authorized_official_telephone_number": "215-292-1698"
    },
    "taxonomies": [
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "PA",
            "license": "MD426706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014748450002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Himal Patel
• Marvin Thomas Pathrose, PHARMD.
• Angela Monique Peagler-Hall
• Stephen Pearlman, DMD
• Pediatric Dentistry of Newtown Square, LLC
• Donna W. Pelura, PT, DPT, MTC
• Penn Ba Systems
• Spencer L Penn, D.O.
• Pennsylvania Agency of Nurses
• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy # 00233)

• Pediatric Ophthalmology and Strabismus Specialist Physician in Newtown Square, PA
• Providers in Newtown Square, PA by specialty
• Pediatric Ophthalmology and Strabismus Specialist Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.