Anita Nevyas-Wallace, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD031809E Issued in PA

Practice address

333 E City Ave
2 Bala Plaza
Bala Cynwyd, PA 19004-1501

Phone

(610) 668-2777

Fax

(610) 668-1509

NPI assigned

Nov 30, 2005

Last updated

Jul 10, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eye Surgery of the Main Line, LLC

  • Ambulatory Surgical Clinic/Center
  • Bala Cynwyd, PA
  • NPI 1518575778
  Authorized official Same address or phone

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1699759191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E CITY AVE",
            "address_2": "2 BALA PLAZA",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041501",
            "telephone_number": "610-668-1192",
            "fax_number": "610-668-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E CITY AVE",
            "address_2": "2 BALA PLAZA",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041501",
            "telephone_number": "610-668-2777",
            "fax_number": "610-668-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVYAS-WALLACE",
        "first_name": "ANITA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD031809E",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD031809E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Nehez III, LSW
• Christina Nelson
• Leonard B Nelson, M.D.
• Nevyas Eye Associates, PC (Delaware Valley Laser Surgery Institute)
• Nevyas Eye Associates, PC
• Herbert J Nevyas, M.D..
• New Results Counseling LLC
• Duyen Thi Ngo, DMD
• Katina Nguyen, DDS
• Kimberly Hoang Nguyen, DPM

• Ophthalmology Physician in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.