Individual provider Active NPI

Sharon Dyckman, M.D.

  • Ophthalmology Physician
  • Southampton, PA
National Provider Identifier
1801892278
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD039987E Issued in PA
Practice address
1018 Street Rd
Southampton, PA 18966-4221
Phone
(215) 322-8338
Fax
(215) 322-6120
NPI assigned
Jun 22, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD039987E PA Primary

Addresses

Primary practice location

1018 Street Rd
Southampton, PA 18966-4221

Mailing address

131 Raynham Rd
Merion Station, PA 19066-1735
Phone (610) 617-9921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040526001040 PA Practitioner - Ophthalmology 6002897956 Reassigns benefits to 2 organizations
I20090804000749 NJ Practitioner - Ophthalmology 6002897956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Icahn School of Medicine at Mount Sinai, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Burlington County Eye Physicians IIGroup PAC ID 7315956620, 13 clinicians

Practice addresses (Care Compare)

225 Sunset Rd
Willingboro, NJ 08046-1109
Phone (609) 877-2800

950 Town Ctr Dr
Langhorne, PA 19047-1866
Phone (215) 702-1733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD039987EPAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Total Eye Care Centers, PC CurrentSince Jan 1, 2017 Accepting new patients
Total Eye Care Centers PC Ophthalmology CurrentSince Jan 1, 2017 Accepting new patients
Vantage Eyecare, LLC Past Accepting new patients
Dion R. Ehrlich, M.D., LTD. Ophthalmology Past Accepting new patients
Forever Young Home Care Agency Inc Past Accepting new patients
Richard J Fugo Ophthalmology Past Accepting new patients
On Site Health Services PC Past Accepting new patients
Ophthalmology Consulting Services, PC Ophthalmology PastSince May 16, 2016 Accepting new patients

Locations

1568 Woodbourne Rd
Levittown, PA 19057
Phone (215) 943-7800

Interoperability endpoints

  • Direct secure messaging: sdyckman@bcep.intellechartdirect.net
  • Direct secure messaging: sharon.dyckman@bayshore.direct.eyemdemr.com

Organizations & group practices 9

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801892278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 RAYNHAM RD",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661735",
            "telephone_number": "610-617-9921",
            "fax_number": "610-617-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 STREET RD",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664221",
            "telephone_number": "215-322-8338",
            "fax_number": "215-322-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYCKMAN",
        "first_name": "SHARON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD039987E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, PA

Sources for this page

Verify at the official NPI Registry.