Individual provider Active NPI

Mira Amin

  • Cornea and External Diseases Specialist Physician
  • North Wales, PA
National Provider Identifier
1720583297
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X
License
480897 Issued in PA
Practice address
1140 Welsh Rd Ste 220
North Wales, PA 19454-2056
Phone
(215) 542-1522
Fax
(215) 542-9609
NPI assigned
Mar 27, 2018
Last updated
Nov 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 87602 SC
Cornea and External Diseases Specialist Physician 207WX0120X 480897 PA Primary

Addresses

Primary practice location

1140 Welsh Rd Ste 220
North Wales, PA 19454-2056

Mailing address

1140 Welsh Rd Ste 220
North Wales, PA 19454-2056
Phone (152) 542-1522

Other practice location 1

331 N York Rd Ste A
Hatboro, PA 19040-2033
Phone (215) 672-4300

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230821000044 PA Practitioner - Ophthalmology 5395125264 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Temple University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Refocus Eye Health of PA PCGroup PAC ID 5092103309, 15 clinicians

Practice addresses (Care Compare)

753 W Main St
Suite D
Trappe, PA 19426-1948
Phone (610) 489-7440

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.06 of 100Reported as group
Quality
92.68
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
87602SCMDOphthalmology Physician
480897PAMDCornea and External Diseases Specialist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology Physicians & Surgeons Ophthalmology CurrentSince Aug 14, 2023 Accepting new patients
Refocus Eye Health of Central Connecticut, P.C. Ophthalmology Current Accepting new patients
Refocus Eye Health of PA, P.C. Ophthalmology CurrentSince Jul 26, 2023 Accepting new patients
Soll Eye PC of PA Ophthalmology Past Accepting new patients

Locations

1204 Delaware Ave
Fountain Hill, PA 18015
Phone (610) 628-2022

331 N York Rd
Hatboro, PA 19040
Phone (215) 672-0777

331 N York Rd
Ste A
Hatboro, PA 19040
Phone (215) 672-4300

1140 Welsh Rd
Ste 220
North Wales, PA 19454
Phone (215) 542-1522

829 Durham Rd
Penndel, PA 19047
Phone (215) 288-5000

10160 Bustleton Ave
Ste F
Philadelphia, PA 19116
Phone (215) 288-5000

753 W Main St
Ste D
Trappe, PA 19426
Phone (610) 489-7440

Interoperability endpoints

  • Direct secure messaging: mamin@refocus.intellechartdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1720583297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 WELSH RD STE 220",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194542056",
            "telephone_number": "152-542-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 WELSH RD STE 220",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194542056",
            "telephone_number": "215-542-1522",
            "fax_number": "215-542-9609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "331 N York Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Hatboro",
            "state": "PA",
            "postal_code": "190402033",
            "country_code": "US",
            "telephone_number": "215-672-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMIN",
        "first_name": "MIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "87602",
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "PA",
            "license": "480897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wales, PA

Sources for this page

Verify at the official NPI Registry.