Blackstone Vision Trooper

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BLACKSTONE VISION TROOPER

Practice address

30 S Trooper Rd
West Norriton, PA 19403-3050

Phone

(610) 708-5834

Fax

(610) 708-5835

NPI assigned

Apr 4, 2024

Last updated

Apr 4, 2024By 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

Avani Amin, ODNPI 1407377674

Title

OD/Owner

Phone

(610) 708-5834

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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.

• Avani Patel Amin, OD

  • Optometrist
  • West Chester, PA
  • NPI 1407377674
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1881446524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 S TROOPER RD",
            "city": "WEST NORRITON",
            "state": "PA",
            "postal_code": "194033050",
            "telephone_number": "610-708-5834",
            "fax_number": "610-708-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S TROOPER RD",
            "city": "WEST NORRITON",
            "state": "PA",
            "postal_code": "194033050",
            "telephone_number": "610-708-5834",
            "fax_number": "610-708-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKSTONE VISION TROOPER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "AVANI",
        "authorized_official_title_or_position": "OD/OWNER",
        "authorized_official_telephone_number": "610-708-5834",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in West Norriton, PA
• Providers in West Norriton, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.