Individual provider Active NPI

Jean Ann Astorino, O.D.

  • Optometrist
  • Media, PA
National Provider Identifier
1891724456
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001313 Issued in PA
Practice address
200 E State St
Suite 302
Media, PA 19063-3434
Phone
(610) 892-8767
Fax
(610) 892-2991
NPI assigned
Jul 3, 2006
Last updated
Sep 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001313 PA Primary
Corneal and Contact Management Optometrist 152WC0802X OEG001313 PA
Low Vision Rehabilitation Optometrist 152WL0500X OEG001313 PA

Addresses

Primary practice location

200 E State St
Suite 302
Media, PA 19063-3434

Mailing address

200 E State St
Suite 302
Media, PA 19063-3434
Phone (610) 892-8767

Other identifiers 3

IdentifierTypeStateIssuer
3817331OtherPAAETNA
0846745000OtherPAKEYSTONE
817167OtherPABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050323000128 PA Practitioner - Optometry 8426004508 Reassigns benefits to 1 organization
I20070228000103 DE Practitioner - Optometry 8426004508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jean a Astorino OD PCGroup PAC ID 2163478249, 2 clinicians

Practice addresses (Care Compare)

200 E State
Suite C
Media, PA 19063-3434

200 E State St
Suite 302
Media, PA 19063-3434

3509 Silverside Rd
Wilmington, DE 19810-4903
Phone (610) 892-8767

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG001313PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Ophthalmology Consultants PA Optometrist Current Accepting new patients
Jean a Astorino OD PC Optometrist CurrentSince Feb 7, 2005 Accepting new patients
Stephen H Sinclair MD PC Past Accepting new patients
Blind & Vision Rehabilitation Services PastSince May 19, 1997 Accepting new patients

Locations

3509 Silverside Rd
Wilmington, DE 19810
Phone (302) 477-2621

200 E State St
Ste 302
Media, PA 19063
Phone (610) 891-2773

706 Grape St
Whitehall, PA 18052
Phone (610) 266-7700

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/bvrspittsburgh/r4/
  • Direct secure messaging: jastorino@doc.intellechartdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1891724456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E STATE ST",
            "address_2": "SUITE 302",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633434",
            "telephone_number": "610-892-8767",
            "fax_number": "610-892-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E STATE ST",
            "address_2": "SUITE 302",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633434",
            "telephone_number": "610-892-8767",
            "fax_number": "610-892-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASTORINO",
        "first_name": "JEAN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001313",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "PA",
            "license": "OEG001313",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "PA",
            "license": "OEG001313",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3817331",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0846745000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "817167",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.