Individual provider Active NPI

Sheila Concepcion, O.D.

  • Optometrist
  • Philadelphia, PA
National Provider Identifier
1740548627
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002699 Issued in PA
Practice address
4600 Roosevelt Blvd
Suite a-3
Philadelphia, PA 19124-2340
Phone
(215) 533-2595
NPI assigned
Apr 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 689 PR
Optometrist 152W00000X OEG002699 PA Primary
Optometrist 152W00000X 27OA00644000 NJ

Addresses

Primary practice location

4600 Roosevelt Blvd
Suite a-3
Philadelphia, PA 19124-2340

Mailing address

4600 Roosevelt Blvd
Suite a-3
Philadelphia, PA 19124-2340
Phone (215) 533-2595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120918000336 PA Practitioner - Optometry 1658529581 Reassigns benefits to 2 organizations
I20240926002357 NY Practitioner - Optometry 1658529581 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG002699PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Framebar Co LLC Optometrist CurrentSince Apr 1, 2025 Accepting new patients
Empire Vision Center, Inc CurrentSince Aug 20, 2024 Accepting new patients
Ejmvkk Associates Inc Optometrist CurrentSince Jun 6, 2025 Accepting new patients
Beacon Christian Community Health Center Inc CurrentSince Dec 5, 2025 Accepting new patients
Aeg Pennsylvania Professional Inc Optometrist CurrentSince Mar 6, 2024 Accepting new patients
Visionworks, Inc CurrentSince Nov 13, 2019 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Aug 20, 2024 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Nov 13, 2019 Accepting new patients
Sap Optical Optometrist Past Accepting new patients
Beacon Christian Community Health Center, Inc. Past Accepting new patients

Locations

2894 Long Beach Rd
Oceanside, NY 11572
Phone (516) 888-1038

10222 Atlantic Ave
Ozone Park, NY 11416
Phone (718) 846-1144

1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200

2079 Forest Ave
Staten Island, NY 10303
Phone (718) 815-6560

2031 Forest Ave
Ste 2
Staten Island, NY 10303
Phone (718) 815-6560

2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145

560 Millcreek Mall
Erie, PA 16565
Phone (814) 868-8540

2300 E Lincoln Hwy
Langhorne, PA 19047
Phone (215) 750-3760

187 Scharberry Ln
Mars, PA 16046
Phone (724) 591-5501

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1740548627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 ROOSEVELT BLVD",
            "address_2": "SUITE A-3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242340",
            "telephone_number": "215-533-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 ROOSEVELT BLVD",
            "address_2": "SUITE A-3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242340",
            "telephone_number": "215-533-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCEPCION",
        "first_name": "SHEILA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-27",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "689",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002699",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00644000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.