NPIMap

Organization Active NPI

Family Vision

  • Optometrist
  • Lansdale, PA
National Provider Identifier
1699979211
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001503 Issued in PA
Legal business name
FAMILY VISION
Practice address
1601 S Valley Forge Rd
Lansdale, PA 19446-5450
Phone
(215) 368-4660
Fax
(215) 368-7176
NPI assigned
Jun 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Dr. Paul Jacob Suscavage, ODNPI 1053382077
Title
Managing Member
Phone
(215) 368-4660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG001503 PA Primary

Addresses

Primary practice location

1601 S Valley Forge Rd
Lansdale, PA 19446-5450

Mailing address

1601 S Valley Forge Rd
Lansdale, PA 19446-5450
Phone (215) 368-4660

National Provider Directory

National Provider Directory
Tax ID family
Family Vision2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1699979211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 S VALLEY FORGE RD",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465450",
            "telephone_number": "215-368-4660",
            "fax_number": "215-368-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 S VALLEY FORGE RD",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465450",
            "telephone_number": "215-368-4660",
            "fax_number": "215-368-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "SUSCAVAGE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "215-368-4660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.