Individual provider Active NPI

Amalia Catherine Burrell, OD

  • Optometrist
  • Norristown, PA
National Provider Identifier
1821660572
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003817 Issued in PA
Practice address
10 Clearfield Ave
Norristown, PA 19403-1655
Phone
(610) 631-1142
Fax
(610) 631-2038
NPI assigned
Jul 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003817 PA Primary

Addresses

Primary practice location

10 Clearfield Ave
Norristown, PA 19403-1655

Mailing address

10 Clearfield Ave
Norristown, PA 19403-1655
Phone (610) 631-1142

Other practice location 1

467 MacDade Blvd
Collingdale, PA 19023-3440
Phone (610) 586-1506

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
I20210819000841 PA Practitioner - Optometry 0143625707 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suburban Eye Care OptometricGroup PAC ID 2567434137, 2 clinicians

Practice addresses (Care Compare)

10 Clearfield Ave
Trooper, PA 19403-1655
Phone (610) 631-1142

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Eye Care Optometric Optometrist CurrentSince Aug 1, 2021 Accepting new patients
Eye Store-Shoppe LLC Optometrist Current Accepting new patients
Collingdale Vision Center LLC Optometrist CurrentSince Aug 1, 2021 Accepting new patients

Locations

3070 Bristol Pike
Ste 2-220
Bensalem, PA 19020
Phone 2144971001108

1650 Limekiln Pike
Ste B18
Dresher, PA 19025
Phone (215) 628-3777

10 Clearfield Ave
Trooper, PA 19403
Phone (610) 272-1644

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": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1821660572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CLEARFIELD AVE",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194031655",
            "telephone_number": "610-631-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CLEARFIELD AVE",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194031655",
            "telephone_number": "610-631-1142",
            "fax_number": "610-631-2038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "467 MacDade Blvd",
            "address_purpose": "LOCATION",
            "city": "Collingdale",
            "state": "PA",
            "postal_code": "190233440",
            "country_code": "US",
            "telephone_number": "610-586-1506",
            "fax_number": "610-534-4694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURRELL",
        "first_name": "AMALIA",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norristown, PA

Sources for this page

Verify at the official NPI Registry.