Organization Active NPI

Mobileyes

  • Optometrist
  • Effort, PA
National Provider Identifier
1902127103
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000232 Issued in PA
Legal business name
MOBILEYES
Practice address
64 Mount Effort Dr
Effort, PA 18330-9434
Phone
(570) 234-6733
Fax
(866) 813-7370
NPI assigned
Jun 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Dr. Richard James, O.D.NPI 1528052032
Title
Owner
Phone
(570) 234-6733

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 OEG000232 PA Primary

Addresses

Primary practice location

64 Mount Effort Dr
Effort, PA 18330-9434

Mailing address

PO Box 550
Effort, PA 18330-0550
Phone (570) 234-6733

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111213000351 PA Part B Supplier - Clinic/Group Practice 3577738905 Receives reassigned benefits from 1 practitioner
Practice locations: Effort, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1902127103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "EFFORT",
            "state": "PA",
            "postal_code": "183300550",
            "telephone_number": "570-234-6733",
            "fax_number": "866-813-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 MOUNT EFFORT DR",
            "city": "EFFORT",
            "state": "PA",
            "postal_code": "183309434",
            "telephone_number": "570-234-6733",
            "fax_number": "866-813-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILEYES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-22",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-234-6733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Effort, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.