Active NPI
Sheila Concepcion, O.D.
- Optometrist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG002699
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG002699 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Framebar Co LLC | Optometrist | Current | Accepting new patients |
| Empire Vision Center, Inc | Current | Accepting new patients | |
| Ejmvkk Associates Inc | Optometrist | Current | Accepting new patients |
| Beacon Christian Community Health Center Inc | Current | Accepting new patients | |
| Aeg Pennsylvania Professional Inc | Optometrist | Current | Accepting new patients |
| Visionworks, Inc | Current | Accepting new patients | |
| Empire Vision Center Inc | Optometrist | Current | Accepting new patients |
| Visionworks, Inc. | Optometrist | Current | 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.
-
- Optometrist
- Pittsburgh, PA
- NPI 1851958854
-
- Optometrist
- Erie, PA
- NPI 1063579837
-
- Optometrist
- Ozone Park, NY
- NPI 1992189153
-
- Optometrist
- Syracuse, NY
- NPI 1750358826
-
- Optometrist
- Oceanside, NY
- NPI 1295384139
-
- Federally Qualified Health Center (FQHC)
- Staten Island, NY
- NPI 1639246358
-
- Federally Qualified Health Center (FQHC)
- Staten Island, NY
- NPI 1750700902
-
- Eyewear Supplier
- Attleboro, MA
- NPI 1730635582
-
- Eyewear Supplier
- Simpsonville, SC
- NPI 1699571166
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
- Concentra Health Services Inc
- Concentra Health Services, Inc
- Concentra Health Services, Inc.
- Maria Victoria Concepcion Delgado
- Kristine J Concepcion, D.M.D.
- Concern Home Care
- Concierge Physical Therapy, LLC
- Concierge Spine and Sports Medicine, PC
- Concorde, Inc.
- Concordia Center of Clinical Chiropractic &Rehabilitation LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.