Organization Active NPI

Mr Eyecare LLC

  • Optometrist
  • Doylestown, PA
National Provider Identifier
1730806274
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MR EYECARE LLC
Practice address
5175 Cold Spring Creamery Rd Ste 1
Doylestown, PA 18902-6288
Phone
(215) 489-4080
NPI assigned
Oct 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Authorized official

Name
Dr. Micheline Rajha, ODNPI 1700369261
Title
Optometrist
Phone
(484) 560-6253

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: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

5175 Cold Spring Creamery Rd Ste 1
Doylestown, PA 18902-6288

Mailing address

2011 Latta St
Allentown, PA 18104-1119
Phone (484) 560-6253

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Buckinghameyeassociates@hotmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221222000529 PA Part B Supplier - Clinic/Group Practice 7012387798 Receives reassigned benefits from 1 practitioner
Practice locations: Doylestown, PA

National Provider Directory

National Provider Directory

Locations

5175 Cold Spring Creamery Rd
Ste 1S
Doylestown, PA 18902

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": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1730806274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 LATTA ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181041119",
            "telephone_number": "484-560-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5175 COLD SPRING CREAMERY RD STE 1",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189026288",
            "telephone_number": "215-489-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MR EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "RAJHA",
        "authorized_official_first_name": "MICHELINE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "484-560-6253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Buckinghameyeassociates@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "5175 Cold Spring Creamery Rd Ste 1",
            "city": "Doylestown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "189026288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.