Individual provider Active NPI

John Joseph Flaim, O.D.

  • Optometrist
  • Ephrata, PA
National Provider Identifier
1790861326
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OE-006027T Issued in PA
Practice address
1521 W Main St
Ephrata, PA 17522-1102
Phone
(717) 733-1575
Fax
(717) 733-2189
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OE-006027T PA Primary

Addresses

Primary practice location

1521 W Main St
Ephrata, PA 17522-1102

Mailing address

1521 W Main St
Ephrata, PA 17522-1102
Phone (717) 733-1575

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
I20120326000442 PA Practitioner - Optometry 1557521739 Practice locations: Ehprata, PA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1521 W Main St
Ehprata, PA 17522-1102
Phone (717) 733-1575

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OE-006027TPAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259107200000",
    "number": "1790861326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 W MAIN ST",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221102",
            "telephone_number": "717-733-1575",
            "fax_number": "717-733-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 W MAIN ST",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221102",
            "telephone_number": "717-733-1575",
            "fax_number": "717-733-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAIM",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2009-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE-006027T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, PA

Sources for this page

Verify at the official NPI Registry.