Individual provider Active NPI

Avital Laura Feldman, OD

  • Optometrist
  • Southampton, PA
National Provider Identifier
1780947259
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002627 Issued in PA
Practice address
319 Second Street Pike
Southampton, PA 18966-3811
Phone
(215) 355-4428
Fax
(215) 526-2584
NPI assigned
Jun 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002627 PA Primary

Addresses

Primary practice location

319 Second Street Pike
Southampton, PA 18966-3811

Mailing address

319 Second Street Pike
Southampton, PA 18966-3811
Phone (215) 355-4428

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
I20120731000323 PA Practitioner - Optometry 4486810785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-Century Eye Care, P.C. 15 clinicians

Practice addresses (Care Compare)

319 2ND St Pike
Tri County Eye Physicians
Southampton, PA 18966-3812
Phone (215) 355-4428

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002627PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-Century Eye Care, PC CurrentSince Aug 30, 2020 Accepting new patients
Tri-Century Eye Care, PC CurrentSince Aug 30, 2020 Accepting new patients

Locations

216 Mill St
Bristol, PA 19007
Phone (215) 781-2020

352 E Butler Ave
New Britain, PA 18901
Phone (215) 230-4700

319 2nd Street Pike
Southampton, PA 18966
Phone (215) 355-4428

10000 Anns Choice Way
Fl 1
Warminster, PA 18974
Phone (215) 355-4428

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: afeldman@tcec.intellechartdirect.net

Organizations & group practices 3

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": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381190400000",
    "number": "1780947259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 SECOND STREET PIKE",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663811",
            "telephone_number": "215-355-4428",
            "fax_number": "215-526-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 SECOND STREET PIKE",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663811",
            "telephone_number": "215-355-4428",
            "fax_number": "215-526-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "AVITAL",
        "middle_name": "LAURA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2013-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "002627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, PA

Sources for this page

Verify at the official NPI Registry.