Organization Active NPI

Davidoff & Associates Inc

  • Optometrist
  • West Chester, PA
National Provider Identifier
1700857067
Registry record updated Jun 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000157 Issued in PA
Legal business name
DAVIDOFF & ASSOCIATES INC
Practice address
301 W Boot Rd
West Chester, PA 19380-1109
Phone
(610) 430-2060
Fax
(610) 430-2063
NPI assigned
Jan 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2011

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

Authorized official

Name
Dr. Jerry Philip Davidoff, O.D.
Title
President
Phone
(610) 430-2060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG000157 PA Primary

Addresses

Primary practice location

301 W Boot Rd
West Chester, PA 19380-1109

Mailing address

301 W Boot Rd
West Chester, PA 19380-1109
Phone (610) 430-2060

Other identifiers 1

IdentifierTypeStateIssuer
CK2540OtherPARAILROAD MEDICARE PIN

Other names 1

  • Whiteland Family Eye Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308873600000",
    "number": "1700857067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W BOOT RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193801109",
            "telephone_number": "610-430-2060",
            "fax_number": "610-430-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W BOOT RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193801109",
            "telephone_number": "610-430-2060",
            "fax_number": "610-430-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIDOFF & ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2011-06-24",
        "status": "A",
        "authorized_official_last_name": "DAVIDOFF",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-430-2060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "CK2540",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whiteland Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; 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.