Individual provider Active NPI

Jane Lim, O.D.

  • Optometrist
  • Skippack, PA
National Provider Identifier
1770638348
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000061 Issued in PA
Practice address
3990 Ashland Drive
46 PO
Skippack, PA 19474-0046
Phone
(610) 410-5290
Fax
(610) 584-0314
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000061 PA Primary

Addresses

Primary practice location

3990 Ashland Drive
46 PO
Skippack, PA 19474-0046

Mailing address

3990 Ashland Drive
46 PO
Skippack, PA 19474-0046
Phone (610) 410-5290

Other identifiers 1

IdentifierTypeStateIssuer
09768OtherPAMEDICARE PTAN

Other names 1

  • JL Eye Associates,PC PC Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060126000898 PA Practitioner - Optometry 5890709026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3990 Ashland Dr
Harleysville, PA 19438-2789

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000061PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
J L Eye Associates, PC Optometrist CurrentSince Jan 1, 2005 Accepting new patients

Locations

147 Palmer Park Mall
Easton, PA 18045
Phone (610) 258-4372

Organizations & group practices 1

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1770638348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 ASHLAND DRIVE",
            "address_2": "46 PO",
            "city": "SKIPPACK",
            "state": "PA",
            "postal_code": "194740046",
            "telephone_number": "610-410-5290",
            "fax_number": "610-584-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 ASHLAND DRIVE",
            "address_2": "46 PO",
            "city": "SKIPPACK",
            "state": "PA",
            "postal_code": "194740046",
            "telephone_number": "610-410-5290",
            "fax_number": "610-584-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "09768",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JL EYE ASSOCIATES,PC",
            "last_name": "PC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Skippack, PA

Sources for this page

Verify at the official NPI Registry.