King of Prussia Family Eye Care P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

KING OF PRUSSIA FAMILY EYE CARE P.C.

Practice address

860 First Ave Ste 1B
King of Prussia, PA 19406-4033

Phone

(610) 265-0765

Fax

(610) 265-6824

NPI assigned

Jul 5, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Ellwood, ODNPI 1427496256

Title

Optometrist

Phone

(610) 265-0765

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.

• Joseph Edward Ellwood, OD

  • Optometrist
  • Pottsville, PA
  • NPI 1427496256
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562284800000",
    "number": "1861054322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 FIRST AVE STE 1B",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064033",
            "telephone_number": "610-265-0765",
            "fax_number": "610-265-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 FIRST AVE STE 1B",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064033",
            "telephone_number": "610-265-0765",
            "fax_number": "610-265-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING OF PRUSSIA FAMILY EYE CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-05",
        "last_updated": "2019-07-05",
        "status": "A",
        "authorized_official_last_name": "ELLWOOD",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "610-265-0765",
        "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": [],
    "endpoints": [],
    "other_names": []
}

• King of Prussia As, LLC
• King of Prussia Chiropractic and Rehabilitation
• King of Prussia Chiropractic&Holistic Wellness Center LLC
• King of Prussia Dental Associates
• King of Prussia Doulas
• King of Prussia Family Medicine
• King of Prussia Surgery Center, LLC (King of Prussia Surgery Center)
• Gary David Kirshner, O.D.
• Lauren Michelle Kitchen, M.A., BCBA, LBS
• Alaina Klause, LPC

• Optometrist in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; 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.