Organization Active NPI

Bonnie S. Eldredge,O.D., Inc.

Doing business as Eldredge Eye Associates

  • Optometrist
  • Langhorne, PA
National Provider Identifier
1881609626
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000224 Issued in PA
Legal business name
BONNIE S. ELDREDGE,O.D., INC.
Doing business as
Eldredge Eye Associates
Practice address
170 Middletown Blvd
Suite 102
Langhorne, PA 19047-3200
Phone
(215) 891-9165
Fax
(215) 891-9836
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bonnie S. Eldredge, O.D.NPI 1932100997
Title
President
Phone
(215) 891-9165

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 OEG000224 PA Primary

Addresses

Primary practice location

170 Middletown Blvd
Suite 102
Langhorne, PA 19047-3200

Mailing address

PO Box 114
Langhorne, PA 19047-0114
Phone (215) 891-9165

Other names 1

  • Eldredge Eye Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070329000201 PA Part B Supplier - Clinic/Group Practice 9032213103 Receives reassigned benefits from 1 practitioner
Practice locations: Langhorne, PA

National Provider Directory

National Provider Directory

Locations

170 Middletown Blvd
Ste 102
Langhorne, PA 19047
Phone (215) 891-9165

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": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881609626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 114",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190470114",
            "telephone_number": "215-891-9165",
            "fax_number": "215-891-9836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MIDDLETOWN BLVD",
            "address_2": "SUITE 102",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190473200",
            "telephone_number": "215-891-9165",
            "fax_number": "215-891-9836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNIE S. ELDREDGE,O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELDREDGE",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-891-9165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eldredge Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.