Individual provider Active NPI

David S C Pao, M.D.

  • Ophthalmology Physician
  • Levittown, PA
National Provider Identifier
1770643256
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD013207E Issued in PA
Practice address
1609 Woodbourne Rd
Sutie 303
Levittown, PA 19057-1500
Phone
(215) 547-1818
Fax
(215) 547-5174
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA03417700 NJ
Ophthalmology Physician 207W00000X MD013207E PA Primary

Addresses

Primary practice location

1609 Woodbourne Rd
Sutie 303
Levittown, PA 19057-1500

Mailing address

1609 Woodbourne Rd
Sutie 303
Levittown, PA 19057-1500
Phone (215) 547-1818

Other identifiers 2

IdentifierTypeStateIssuer
000175406OtherPAHIGHMARK BLUE SHIELD
00219380000OtherPAIBC HMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address robinb@eyeops.com Direct

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040526001139 PA Practitioner - Ophthalmology 9638150501 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA03417700NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Total Eye Care Centers, PC CurrentSince Jan 1, 2017 Accepting new patients
Total Eye Care Centers PC Ophthalmology CurrentSince Jan 1, 2017 Accepting new patients
Wills Eye Ophthalmology Clinic, Inc Ophthalmology CurrentSince Jul 1, 2002 Accepting new patients
Ophthalmology Physicians & Surgeons Ophthalmology CurrentSince Jan 26, 2013 Accepting new patients
Forever Young Home Care Agency Inc Past Accepting new patients

Locations

625 W Ridge Pike
Bldg B
Conshohocken, PA 19428
Phone (267) 354-2632

331 N York Rd
Hatboro, PA 19040
Phone (215) 672-0777

1609 Woodbourne Rd
Ste 303
Levittown, PA 19057
Phone (215) 247-1818

1568 Woodbourne Rd
Levittown, PA 19057
Phone (215) 943-7800

840 Walnut St
Ste 1230
Philadelphia, PA 19107
Phone (215) 440-3160

840 Walnut St
Ste 1250
Philadelphia, PA 19107
Phone (215) 928-3900

1018 Street Rd
Ste 201
Southampton, PA 18966
Phone (215) 322-8338

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1770643256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 WOODBOURNE RD",
            "address_2": "SUTIE 303",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190571500",
            "telephone_number": "215-547-1818",
            "fax_number": "215-547-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 WOODBOURNE RD",
            "address_2": "SUTIE 303",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190571500",
            "telephone_number": "215-547-1818",
            "fax_number": "215-547-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAO",
        "first_name": "DAVID",
        "middle_name": "S C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA03417700",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD013207E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "000175406",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC HMO",
            "identifier": "00219380000",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robinb@eyeops.com",
            "affiliation": "N",
            "endpointDescription": "OPS Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1609 Woodbourne Rd",
            "address_2": "SUTIE 303",
            "city": "Levittown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190571500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Levittown, PA

Sources for this page

Verify at the official NPI Registry.