Sardella Eye Associates, LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

OEG000297 Issued in PA

Legal business name

SARDELLA EYE ASSOCIATES, LLC

Practice address

1810 Wilmington Pike
Suite 13
Glen Mills, PA 19342-8177

Phone

(610) 558-3937

Fax

(610) 558-4154

NPI assigned

Jan 17, 2013

Organization subpart

No

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

Authorized official

Name

Jason Borbidge

Title

Manager

Phone

(610) 558-3937

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1881932341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 WILMINGTON PIKE",
            "address_2": "SUITE 13",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193428177",
            "telephone_number": "610-558-3937",
            "fax_number": "610-558-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 WILMINGTON PIKE",
            "address_2": "SUITE 13",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193428177",
            "telephone_number": "610-558-3937",
            "fax_number": "610-558-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARDELLA EYE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "BORBIDGE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "610-558-3937"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "PA",
            "license": "OB008953",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "PA",
            "license": "OEG000297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Glen Mills, PA
• Providers in Glen Mills, PA by specialty
• Preferred Provider Organization in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.