Alpha Eye City Line, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ALPHA EYE CITY LINE, LLC

Practice address

7516 City Ave
Philadelphia, PA 19151-2102

Phone

(215) 878-7181

Fax

(215) 230-4065

NPI assigned

Nov 18, 2020

Last updated

Nov 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gretchen J Brewer, ODNPI 1235226671

Title

Owner

Phone

(267) 481-2360

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gretchen Brewer, OD

  • Optometrist
  • Philadelphia, PA
  • NPI 1235226671
  Medicare reassignment Care Compare group NPD Authorized official
• Luz M Rivera, O.D.

  • Optometrist
  • East Norriton, PA
  • NPI 1770696494
  Medicare reassignment Care Compare group NPD
• Jessica T. DO, OD

  • Optometrist
  • Philadelphia, PA
  • NPI 1053935908
  Medicare reassignment NPD
• Allison Hansen, OD

  • Optometrist
  • Philadelphia, PA
  • NPI 1447985130
  Medicare reassignment

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1740883297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 DICKENS CT",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541622",
            "telephone_number": "267-481-2360",
            "fax_number": "215-230-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7516 CITY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191512102",
            "telephone_number": "215-878-7181",
            "fax_number": "215-230-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA EYE CITY LINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-481-2360",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Alper, LPC
• Samuel Alperin, MD
• Klara S Alperstein, DDS
• Izabella Alpert, NP
• Micaela Alpert
• Alpha Home Care Coordination Inc
• Alpha Integrated Clinic
• Alpha Medical Group, LTD. (Dr. Maria A. Limberakis)
• Alpha Medical Group,LTD. (Bustleton Radiology Associates,Ltd.)
• Alpha Optical City Line, LLC

• Optometrist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.