Active NPI
Duffy Brothers Opticians
- Optician
- Philadelphia, PA
National Provider Identifier
1699833368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- DUFFY BROTHERS OPTICIANS
- Practice address
- 2861 Holme Avenue
Philadelphia, PA 19152 - Phone
- (215) 698-7338
- Fax
- (215) 698-0905
- NPI assigned
- Dec 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Stephen T Lacovara
- Title
- Owner Officer
- Phone
- (215) 698-7338
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
2861 Holme Avenue
Philadelphia, PA 19152
Mailing address
2861 Holme Avenue
Philadelphia, PA 19152
Phone (215) 698-7338
Other names 1
- Duffy Optical Co
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930038558 | PA | DME Supplier - Optician | 8628195583 | Practice locations: Philadelphia, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Duffy Brothers Opticians Inc | Prosthetic Lenses: Conventional Eyeglasses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
2861 Holme Ave
Philadelphia, PA 19152
Phone (215) 698-7337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365465600000",
"number": "1699833368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2861 HOLME AVENUE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19152",
"telephone_number": "215-698-7338",
"fax_number": "215-698-0905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2861 HOLME AVENUE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19152",
"telephone_number": "215-698-7338",
"fax_number": "215-698-0905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUFFY BROTHERS OPTICIANS",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2013-04-09",
"status": "A",
"authorized_official_last_name": "LACOVARA",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER OFFICER",
"authorized_official_telephone_number": "215-698-7338",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Duffy Optical Co",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.