Oxford Family Eyecare, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000335 Issued in PA

Legal business name

OXFORD FAMILY EYECARE, PC

Practice address

49 S 2ND St
Oxford, PA 19363-1370

Phone

(610) 932-9356

Fax

(610) 932-3097

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Malcolm H. Kelly Jr., OD

Title

President

Phone

(610) 932-9356

Specialties & licenses 1

Addresses

Other identifiers 7

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1861447880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 S 2ND ST",
            "city": "OXFORD",
            "state": "PA",
            "postal_code": "193631370",
            "telephone_number": "610-932-9356",
            "fax_number": "610-932-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 S 2ND ST",
            "city": "OXFORD",
            "state": "PA",
            "postal_code": "193631370",
            "telephone_number": "610-932-9356",
            "fax_number": "610-932-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXFORD FAMILY EYECARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-932-9356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED ID NO.",
            "identifier": "112071",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC JURISDICTION A",
            "identifier": "5426540001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3634856",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "55863",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC HMO ID",
            "identifier": "2203236000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA - PPO",
            "identifier": "4511161",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK ID",
            "identifier": "001515704",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clarice Riche' Norris-Dixon, MA, LPC, NCC
• Amanda Norton
• Oxford Area School District
• Oxford Dental Associates
• Oxford Family Dentistry, LLC
• Oxford Medical Center (Red Rose Family Physicians)
• Julia J Pavlik
• Susanna Elana Perez-Bard
• Christine Pla, PT, DPT, LAT, ATC
• Presbyterian Homes Inc. (Oxford Health Center)

• Optometrist in Oxford, PA
• Providers in Oxford, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.