Organization Active NPI

Alpha Eye Plymouth Meeting, LLC

  • Optometrist
  • Plymouth Meeting, PA
National Provider Identifier
1841959244
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ALPHA EYE PLYMOUTH MEETING, LLC
Practice address
661 W Germantown Pike
Plymouth Meeting, PA 19462-3100
Phone
(610) 941-9780
NPI assigned
Dec 13, 2021
Last updated
Dec 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Authorized official

Name
Gretchen J Brewer, ODNPI 1235226671
Title
President
Phone
(267) 481-2360

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
Optometrist 152W00000X Primary

Addresses

Primary practice location

661 W Germantown Pike
Plymouth Meeting, PA 19462-3100

Mailing address

103 Dickens CT
North Wales, PA 19454-1622
Phone (267) 481-2360

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220106000319 PA Part B Supplier - Clinic/Group Practice 0941691646 Receives reassigned benefits from 4 practitioners
Practice locations: Plymouth Meeting, PA

National Provider Directory

National Provider Directory

Locations

661 W Germantown Pike
Ste 101
Plymouth Meeting, PA 19462
Phone (610) 941-4149

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1841959244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 DICKENS CT",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541622",
            "telephone_number": "267-481-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 W GERMANTOWN PIKE",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194623100",
            "telephone_number": "610-941-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA EYE PLYMOUTH MEETING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-481-2360",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 13, 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.