NPIMap

Organization Active NPI

City of Phila Trustee Acting by the BRD of Dir of City Trusts

Doing business as Wills Eye Hospital

  • Special Hospital
  • Philadelphia, PA
National Provider Identifier
1881899284
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
Legal business name
CITY OF PHILA TRUSTEE ACTING BY THE BRD OF DIR OF CITY TRUSTS
Doing business as
Wills Eye Hospital
Practice address
840 Walnut St
Philadelphia, PA 19107-5180
Phone
(215) 928-3000
NPI assigned
Jun 18, 2007
Last updated
Oct 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Authorized official

Name
Dr. Mark Blecher, MD
Title
Chief Physician Executive
Phone
(215) 440-3150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X NU Primary

Addresses

Primary practice location

840 Walnut St
Philadelphia, PA 19107-5180

Mailing address

840 Walnut St FL 15
Philadelphia, PA 19107-5180
Phone (215) 440-3150

Other names 1

  • Wills Eye Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180410002080 PA Part A Provider - Hospital 2264470186 Practice locations: Philadelphia, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881899284. Details of each certification follow.

Hospital certification: CCN 390331

Legal name
CITY OF PHILA TRUSTEE ACTING BY THE BRD OF DIR OF CITY TRUSTS
Doing business as
WILLS EYE HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jan 22, 2018
Last certification
Jan 22, 2018
Beds
4
Ownership / control type
Private (not for profit)
Organization structure
OtherNon-profit
Enrollment address
840 Walnut Street
Philadelphia, PA 19107-5109
Main/Primary Hospital Location
Hospital subgroups
Short-term

Care Compare: Hospital

Medicare Care Compare
Listed as
Wills Eye HospitalCCN 390331 · All quality measures
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D1000388Wills Eye Hospital840 Walnut Street - 7TH Floor, Philadelphia, PA 19107Certificate of waiverJun 16, 2028
39D2122175Wills Eye Hospital840 Walnut Street, Ste 1530, Philadelphia, PA 19107Certificate of waiverNov 21, 2026

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

840 Walnut St
Philadelphia, PA 19107
Phone (215) 440-3150

840 Walnut St
Ste 840
Philadelphia, PA 19107
Phone (215) 882-8649

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Albert S Dandridge Individual Corporate DirectorMember of the Board of Director Feb 14, 2017
Mark F Squilla Individual Corporate DirectorMember of the Board of Directors Sep 28, 2017
PNC Capital Finance LLC Organization, Pittsburgh, PA Created for acquisition, Corporation, Financial institution, For-profit 5% Or Greater Mortgage Interest Feb 27, 2013 9%
5% Or Greater Security Interest Mar 1, 2012 23%
Michael a Nutter Individual Corporate DirectorMember of the Board of Director Nov 15, 2001
Derek Green Individual Corporate DirectorMember of the Board of Directors Feb 18, 2021
Julia a Haller Individual Corporate OfficerChief Executive Officer/Oic Nov 19, 2007
Shelley D Johnson Individual Corporate OfficerDirector of Finance Apr 1, 2019
Lynette M Brown Sow Individual Corporate DirectorMember of the Board of Director Feb 8, 2008
Michael D Allen Individual Corporate OfficerChief Operating Officer Oct 1, 2010
W-2 Managing EmployeeChief Operating Officer Oct 1, 2010
Bernard W Smalley Individual Corporate DirectorMember of the Board of Director Nov 15, 2001
Donna Bullock Individual Corporate DirectorMember of the Board of Directors Feb 18, 2022
Paul L Panepinto Individual Corporate DirectorMember of the Board of Director Mar 17, 2017
Dominic a Sabatini Individual Corporate DirectorMember of the Board of Director Jun 12, 2012
Michael J Stack Individual Corporate DirectorMember of the Board of Director Mar 12, 2010
Charles Gibbs Individual Corporate DirectorMember of the Board of Directors Feb 18, 2021

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 9

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.

Affiliated clinicians 183

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 183

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792108800000",
    "number": "1881899284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 WALNUT ST FL 15",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075180",
            "telephone_number": "215-440-3150",
            "fax_number": "215-928-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 WALNUT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075180",
            "telephone_number": "215-928-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF PHILA TRUSTEE ACTING BY THE BRD OF DIR OF CITY TRUSTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A",
        "authorized_official_last_name": "BLECHER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF PHYSICIAN EXECUTIVE",
        "authorized_official_telephone_number": "215-440-3150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wills Eye Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.