Organization Active NPI

Feltz Optometry of PA LLC

  • Optometrist
  • Baltimore, MD
National Provider Identifier
1770099327
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
007663 Issued in PA
Legal business name
FELTZ OPTOMETRY OF PA LLC
Practice address
7 Saint Paul St Ste 820
Baltimore, MD 21202-1681
Phone
(248) 528-2116
Fax
(502) 996-8282
NPI assigned
Dec 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Authorized official

Name
Joy L Stevens
Title
Director of Revenue Assurance
Phone
(502) 244-2441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 007663 PA Primary

Addresses

Primary practice location

7 Saint Paul St Ste 820
Baltimore, MD 21202-1681

Mailing address

12910 Shelbyville Rd Ste 101
Louisville, KY 40243-1593
Phone (502) 254-2441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD, DC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20180521001097 PA Part B Supplier - Clinic/Group Practice 1153686282 Receives reassigned benefits from 10 practitioners
Practice locations: Johnstown, PA; Kane, PA; Kingston, PA; Lancaster, PA; Lebanon, PA; Lower Burrell, PA; Marion Center, PA; Montoursville, PA…
O20190517000792 MD Part B Supplier - Clinic/Group Practice 1153686282 Receives reassigned benefits from 4 practitioners
Practice locations: Baltimore, MD
O20220217002333 DC Part B Supplier - Clinic/Group Practice 1153686282 Receives reassigned benefits from 2 practitioners
Practice locations: Bowie, MD; Burtonsville, MD

National Provider Directory

National Provider Directory

Locations

12910 Shelbyville Rd
Ste 101
Louisville, KY 40243

7 Saint Paul St
Ste 820
Baltimore, MD 21202
Phone (800) 370-6351

700 S Cayuga Ave
Altoona, PA 16602
Phone (814) 251-9765

1548 Sans Souci Pkwy
Hanover Township, PA 18706
Phone (570) 814-7369

3120 Horseshoe Pike
Honey Brook, PA 19344
Phone (610) 273-1637

489 Castle Shannon Blvd
Pittsburgh, PA 15234
Phone (412) 257-2050

Practitioners & affiliated clinicians

Practitioners 12

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": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1770099327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12910 SHELBYVILLE RD STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431593",
            "telephone_number": "502-254-2441",
            "fax_number": "502-254-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SAINT PAUL ST STE 820",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212021681",
            "telephone_number": "248-528-2116",
            "fax_number": "502-996-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELTZ OPTOMETRY OF PA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE ASSURANCE",
        "authorized_official_telephone_number": "502-244-2441"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "007663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.