Veena Adusumilli, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001752 Issued in PA

Practice address

100 Brodhead Rd Ste 100
Bethlehem, PA 18017-8935

Phone

(610) 465-1400

Fax

(610) 465-1700

NPI assigned

Dec 12, 2006

Last updated

Dec 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Elite Vision Care LLC

  • Optometrist
  • Bethlehem, PA
  • NPI 1821681834
  Medicare reassignment NPD Authorized official
• Lehigh Valley Physician Group

  dba LVPG Developmental Pediatrics

  • Developmental - Behavioral Pediatrics Physician
  • Allentown, PA
  • NPI 1780155689
  Medicare reassignment
• Lehigh Valley Physician Group

  dba LVPG Family and Internal Medicine - East Stroudsburg

  • Family Medicine Physician
  • East Stroudsburg, PA
  • NPI 1245093368
  NPD
• Lehigh Valley Physician Group

  dba LVPG Internal Medicine - East Stroudsburg

  • Internal Medicine Physician
  • East Stroudsburg, PA
  • NPI 1285499137
  NPD
• Lehigh Valley Physician Group

  • Transplant Surgery Physician
  • Allentown, PA
  • NPI 1457309650
  NPD
• A&M Optical LLC

  dba Philadelphia Vision Center

  • Optician
  • Phila, PA
  • NPI 1336832393
  NPD (past)
• Gabrielle Schoeppner MD

  dba Northwood Optical

  • Durable Medical Equipment & Medical Supplies
  • Easton, PA
  • NPI 1083801088
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1891856225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BRODHEAD RD STE 100",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180178935",
            "telephone_number": "610-465-1400",
            "fax_number": "610-465-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BRODHEAD RD STE 100",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180178935",
            "telephone_number": "610-465-1400",
            "fax_number": "610-465-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3735 Nazareth Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "PA",
            "postal_code": "180458346",
            "country_code": "US",
            "telephone_number": "610-258-7255",
            "fax_number": "610-258-5197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 Lower Way Rd",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "PA",
            "postal_code": "180458037",
            "country_code": "US",
            "telephone_number": "610-751-5140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 N 17th St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181045049",
            "country_code": "US",
            "telephone_number": "610-969-3070",
            "fax_number": "610-969-3073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADUSUMILLI",
        "first_name": "VEENA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1966287",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "03120400",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Elizabeth Adams, M.D.
• Yasmin Sarah Adams, DDS
• Melkamu Dessie Adeb, M.D.
• Adeleke Tomiwa Adesina, D.O
• Adnan Qayyum, DDS, LLC
• Advanced Cardiac Care LLC
• Advanced Counseling Services, LLP
• Advanced Foot Care, P.C.
• Advanced Primary Care Associates
• Advanced Radiation Oncology Associates, PC

• Optometrist in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.