New Path Vision of North Wales LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

NEW PATH VISION OF NORTH WALES LLC

Practice address

205A Montgomery Mall
North Wales, PA 19454-3905

Phone

(215) 362-2422

NPI assigned

Sep 16, 2021

Last updated

Sep 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle CereoNPI 1790416873

Title

General Manager

Phone

(315) 567-8280

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gina Doloris Defloria, OD

  • Optometrist
  • Richboro, PA
  • NPI 1366331605
  Medicare reassignment NPD
• Michelle Cereo, OPTICIAN

  • Optician
  • Sanatoga, PA
  • NPI 1790416873
  NPD Authorized official

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1811667280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205A MONTGOMERY MALL",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194543905",
            "telephone_number": "215-362-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205A MONTGOMERY MALL",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194543905",
            "telephone_number": "215-362-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW PATH VISION OF NORTH WALES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "CEREO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "315-567-8280"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric James Myers, DPT
• Sharon Nam, DMD
• Ravi Prakash Reddy Nanga
• National Vision, Inc. (America's Best Contacts & Eyeglasses)
• Neurologic Group of Bucks/Mont. Cty
• Nextgen Dental Center PC
• Angela M. Nicholas, MD
• Nicole Adelman, LCSW, LLC
• NMS Diagnostics, LLC
• North Wales Dermatology, PLLC

• Optometrist in North Wales, PA
• Providers in North Wales, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.