Organization Active NPI

Progressive Family Eyecare and Optique, PC

  • Optometrist
  • Collegeville, PA
National Provider Identifier
1871715029
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OE7323T Issued in PA
Legal business name
PROGRESSIVE FAMILY EYECARE AND OPTIQUE, PC
Practice address
136 Second Ave
Collegeville, PA 19426-2609
Phone
(610) 489-7800
Fax
(610) 489-7988
NPI assigned
May 3, 2007
Last updated
Feb 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Dr. John F Sloat, O.D.NPI 1801987987
Title
Ownerdoctor
Phone
(610) 489-7800

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 OE7323T PA Primary

Addresses

Primary practice location

136 Second Ave
Collegeville, PA 19426-2609

Mailing address

136 Second Ave
Collegeville, PA 19426-2609
Phone (610) 489-7800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050415000141 PA Part B Supplier - Clinic/Group Practice 3375580814 Receives reassigned benefits from 2 practitioners
Practice locations: Collegeville, PA

National Provider Directory

National Provider Directory

Locations

136 Second Ave
Collegeville, PA 19426
Phone (610) 489-7800

555 Second Ave
Ste A-100
Collegeville, PA 19426
Phone (610) 489-7800

Practitioners & affiliated clinicians

Practitioners 2

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1871715029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 SECOND AVE",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194262609",
            "telephone_number": "610-489-7800",
            "fax_number": "610-489-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 SECOND AVE",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194262609",
            "telephone_number": "610-489-7800",
            "fax_number": "610-489-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE FAMILY EYECARE AND OPTIQUE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "SLOAT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNERDOCTOR",
        "authorized_official_telephone_number": "610-489-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE7323T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collegeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.