Active NPI
Ioptik, Inc.
- Optometrist
- Philadelphia, PA
National Provider Identifier
1780043794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG002492
- Legal business name
- IOPTIK, INC.
- Practice address
- 8354 Bustleton Ave
Philadelphia, PA 19152-1909 - Phone
- (215) 745-2020
- Fax
- (215) 745-2021
- NPI assigned
- Feb 18, 2016
- 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
- Vlad Bagdasarian
- Title
- Owner
- Phone
- (215) 745-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG002492 | PA | Primary |
Addresses
Primary practice location
8354 Bustleton Ave
Philadelphia, PA 19152-1909
Mailing address
8354 Bustleton Ave
Philadelphia, PA 19152-1909
Phone (215) 745-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Ioptik Inc | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
8354 Bustleton Ave
Philadelphia, PA 19152
Phone (215) 745-2020
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
- Fairless Hills, PA
- NPI 1821385428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455753600000",
"number": "1780043794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8354 BUSTLETON AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191521909",
"telephone_number": "215-745-2020",
"fax_number": "215-745-2021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8354 BUSTLETON AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191521909",
"telephone_number": "215-745-2020",
"fax_number": "215-745-2021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IOPTIK, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-18",
"last_updated": "2016-02-18",
"status": "A",
"authorized_official_last_name": "BAGDASARIAN",
"authorized_official_first_name": "VLAD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "215-745-2020"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "PA",
"license": "OEG002492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.