Central City Eyecare, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CENTRAL CITY EYECARE, LLC

Practice address

105 N 9TH St
Philadelphia, PA 19107-2410

Phone

(215) 873-0340

Fax

(215) 873-0343

NPI assigned

Dec 10, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Min XuNPI 1023357720

Title

Optometrist/Owner

Phone

(215) 873-0340

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Min Xu, O.D.

  • Optometrist
  • Philadelphia, PA
  • NPI 1023357720
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1750610309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N 9TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191072410",
            "telephone_number": "215-873-0340",
            "fax_number": "215-873-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N 9TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191072410",
            "telephone_number": "215-873-0340",
            "fax_number": "215-873-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CITY EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "MIN",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "215-873-0340",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031384300001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Center One Dental Associates PC
• Center Pharmacy of Erie Ave., Inc
• Centerpoint Healthcare Services
• Kayla Centone
• Shannon K Centore, LMFT
• Central City Optical Company
• Central Home Care LLC
• Centralized Comprehensive Human Services, Inc.
• Centralized Comprehensive Human Services, Inc.
• Centralized Comprehensive Human Services, Inc.

• 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 Feb 7, 2024; 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.