Active NPI
Dennis J Denick OD, PC
- Optometrist
- Plymouth Meeting, PA
National Provider Identifier
1831257559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG001423
- Legal business name
- DENNIS J DENICK OD, PC
- Practice address
- 459 W Germantown Pike
Plymouth Meeting, PA 19462-1301 - Phone
- (215) 497-1001
- NPI assigned
- Dec 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dennis J. Denick, OD
- Title
- Owner
- Phone
- (215) 497-1001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG001423 | PA | Primary |
Addresses
Primary practice location
459 W Germantown Pike
Plymouth Meeting, PA 19462-1301
Mailing address
459 W Germantown Pike
Plymouth Meeting, PA 19462-1301
Phone (215) 497-1001
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2374619000 | Other | PA | PERSONAL CHOICE |
| 2374619000 | Other | PA | KEYSTONE |
| DE1702385 | Other | PA | PA BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
2668 DeKalb Pike
Norristown, PA 19401
Phone (610) 277-0720
459 W Germantown Pike
Plymouth Mtng, PA 19462
Phone (610) 275-7000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611792000000",
"number": "1831257559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "459 W GERMANTOWN PIKE",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194621301",
"telephone_number": "215-497-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "459 W GERMANTOWN PIKE",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194621301",
"telephone_number": "215-497-1001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENNIS J DENICK OD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A",
"authorized_official_last_name": "DENICK",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "215-497-1001",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "PA",
"license": "OEG001423",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "2374619000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "2374619000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA BLUE SHIELD",
"identifier": "DE1702385",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth Meeting, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.