Active NPI
Eye Innovations LLC
- Optometrist
- Drexel Hill, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- EYE INNOVATIONS LLC
- Practice address
- 1204 Township Line Rd
1St Floor
Drexel Hill, PA 19026-5034 - Phone
- (610) 446-3939
- Fax
- (610) 446-3938
- NPI assigned
- Sep 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Archima Major, OD, FAAO
- Title
- Optometrist
- Phone
- (610) 446-3939
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
1204 Township Line Rd
1St Floor
Drexel Hill, PA 19026-5034
Mailing address
1204 Township Line Rd
1St Floor
Drexel Hill, PA 19026-5034
Phone (610) 446-3939
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6314320001 | Other | PA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1204 Township Line Rd
Ste 1
Drexel Hill, PA 19026
Phone (610) 446-3939
1325 S 33rd St
Ste 2
Philadelphia, PA 19146
Phone (267) 804-7836
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Drexel Hill, PA
- NPI 1265529812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1278892800000",
"number": "1770733107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 TOWNSHIP LINE RD",
"address_2": "1ST FLOOR",
"city": "DREXEL HILL",
"state": "PA",
"postal_code": "190265034",
"telephone_number": "610-446-3939",
"fax_number": "610-446-3938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 TOWNSHIP LINE RD",
"address_2": "1ST FLOOR",
"city": "DREXEL HILL",
"state": "PA",
"postal_code": "190265034",
"telephone_number": "610-446-3939",
"fax_number": "610-446-3938"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE INNOVATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-22",
"last_updated": "2010-07-12",
"status": "A",
"authorized_official_last_name": "MAJOR",
"authorized_official_first_name": "ARCHIMA",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "610-446-3939",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD, FAAO"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "6314320001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Drexel Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.