Individual provider Active NPI

John F Vilcheck Jr., O.D.

  • Optometrist
  • Coatesville, PA
National Provider Identifier
1780677740
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000965 Issued in PA
Practice address
644 E Reeceville Rd
Coatesville, PA 19320-1232
Phone
(610) 383-6449
Fax
(610) 383-1227
NPI assigned
Aug 25, 2005
Last updated
May 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000965 PA Primary

Addresses

Primary practice location

644 E Reeceville Rd
Coatesville, PA 19320-1232

Mailing address

644 E Reeceville Rd
Coatesville, PA 19320-1232
Phone (610) 383-6449

Other identifiers 4

IdentifierTypeStateIssuer
002948OtherPAAETNA
0164990001OtherPANATIONAL SUPPLIER CLEARIN
410024646OtherPARAILROAD MEDICARE PROVIDE
RR1201OtherPARAILROAD MED SUBMITT NO.

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
I20140508000285 PA Practitioner - Optometry 5890812424 Practice locations: Coatesville, PA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

644 E Reeceville Rd
Coatesville, PA 19320-1232
Phone (610) 383-6449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
John F. Vilcheck, Jr. O.D. Optometrist PastSince Dec 30, 2013 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272844800000",
    "number": "1780677740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 E REECEVILLE RD",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193201232",
            "telephone_number": "610-383-6449",
            "fax_number": "610-383-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 E REECEVILLE RD",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193201232",
            "telephone_number": "610-383-6449",
            "fax_number": "610-383-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILCHECK",
        "first_name": "JOHN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2010-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "002948",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL SUPPLIER CLEARIN",
            "identifier": "0164990001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDE",
            "identifier": "410024646",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MED SUBMITT NO.",
            "identifier": "RR1201",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coatesville, PA

Sources for this page

Verify at the official NPI Registry.