NPIMap

Organization Active NPI

City Line Eye Care LLC

Doing business as City Ave Eye Care

  • Optometrist
  • Bala Cynwyd, PA
National Provider Identifier
1851975312
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CITY LINE EYE CARE LLC
Doing business as
City Ave Eye Care
Practice address
49 E City Ave # 10
Bala Cynwyd, PA 19004-2421
Phone
(610) 206-3866
NPI assigned
May 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Authorized official

Name
Dr. Tu X Dinh, ODNPI 1750543799
Title
Member/Owner
Phone
(215) 391-3811

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 Primary

Addresses

Primary practice location

49 E City Ave # 10
Bala Cynwyd, PA 19004-2421

Mailing address

49 E City Ave # 10
Bala Cynwyd, PA 19004-2421
Phone (610) 206-3866

Other identifiers 1

IdentifierTypeStateIssuer
103945133-0001MedicaidPA

Other names 1

  • City Ave Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211229001827 PA Part B Supplier - Clinic/Group Practice 2961893912 Receives reassigned benefits from 15 practitioners
Practice locations: Bala Cynwyd, PA

National Provider Directory

National Provider Directory

Locations

49 E City Ave
#10
Bala Cynwyd, PA 19004
Phone (610) 206-3866

49 E City Ave
Ste 10
Bala Cynwyd, PA 19004
Phone (610) 206-3866

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769731200000",
    "number": "1851975312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 E CITY AVE # 10",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042421",
            "telephone_number": "610-206-3866",
            "fax_number": "610-206-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 E CITY AVE # 10",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042421",
            "telephone_number": "610-206-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY LINE EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-11",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A",
        "authorized_official_last_name": "DINH",
        "authorized_official_first_name": "TU",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "215-391-3811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103945133-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City Ave Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "City Ave Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.