Tri-State Eye Assoc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD018913E Issued in PA

Legal business name

TRI-STATE EYE ASSOC.

Practice address

4101 Tyson Ave
Philadelphia, PA 19135-1615

Phone

(215) 624-0500

Fax

(215) 333-1195

NPI assigned

Jan 25, 2007

Last updated

Jul 21, 2010By 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

Dr. Edward W Gerner, MDNPI 1154472165

Title

Physician

Phone

(215) 624-0500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

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.

• Edward W Gerner, MD

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1154472165
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1851446918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LLANFAIR CIR",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190033342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 TYSON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191351615",
            "telephone_number": "215-624-0500",
            "fax_number": "215-333-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE EYE ASSOC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "GERNER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "215-624-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD018913E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tri-County Emergency Physicians LLC
• Tri-County Home Health Medical Supplies LLC
• Tri-County Home Healthcare, LLC
• Tri-County Home Support Services LLC
• Tri-State Cardiovascular Imaging Associates, Inc.
• Tri-State Sport and Spine, PLLC
• Tri-State Sport and Spine, PLLC
• Tri-Tech Health PA, LLC (Tri-Tech Healthcare, LLC)
• Austin James Triana, MD
• Lauren Triana, M.A. CCC-SLP

• Ophthalmology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.