Organization Active NPI

Kennett Square Eye Care LLC

  • Optometrist
  • Kennett Square, PA
National Provider Identifier
1821508441
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000909 Issued in PA
Legal business name
KENNETT SQUARE EYE CARE LLC
Practice address
217 E State St
Kennett Square, PA 19348-3111
Phone
(610) 444-5522
Fax
(610) 444-1568
NPI assigned
Oct 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Authorized official

Name
Dr. Rosemary Egan McPherson, ODNPI 1134272792
Title
Optometrist/Owner
Phone
(610) 444-5522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG000909 PA Primary

Addresses

Primary practice location

217 E State St
Kennett Square, PA 19348-3111

Mailing address

217 E State St
Kennett Square, PA 19348-3111
Phone (610) 444-5522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171218001043 PA Part B Supplier - Clinic/Group Practice 6507124732 Receives reassigned benefits from 3 practitioners
Practice locations: Kennett Square, PA

National Provider Directory

National Provider Directory

Locations

217 E State St
Kennett Square, PA 19348
Phone (610) 444-5522

216 S Mill Rd
#112
Kennett Square, PA 19348
Phone (610) 444-5522

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1821508441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483111",
            "telephone_number": "610-444-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483111",
            "telephone_number": "610-444-5522",
            "fax_number": "610-444-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETT SQUARE EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "MCPHERSON",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_middle_name": "EGAN",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "610-444-5522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennett Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.