NPIMap

Organization Active NPI

Carim Eye and Retina Center LTD. P.C.

  • Ophthalmology Physician
  • Wyomissing, PA
National Provider Identifier
1902881576
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CARIM EYE AND RETINA CENTER LTD. P.C.
Practice address
2630 Westview Dr
Wyomissing, PA 19610-1130
Phone
(610) 376-1981
Fax
(610) 376-3153
NPI assigned
Dec 7, 2005
Last updated
Oct 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Authorized official

Name
Jodi Kurtz
Title
Business Manager
Phone
(610) 376-1981

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

2630 Westview Dr
Wyomissing, PA 19610-1130

Mailing address

2630 Westview Dr
Wyomissing, PA 19610-1130
Phone (610) 376-1981

Other identifiers 1

IdentifierTypeStateIssuer
0019662670006MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040714001308 PA Part B Supplier - Clinic/Group Practice 1759360704 Receives reassigned benefits from 9 practitioners
Practice locations: Wyomissing, PA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

2624 Westview Dr
Wyomissing, PA 19610
Phone 6103761981 ext. 228

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.

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1902881576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 WESTVIEW DR",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101130",
            "telephone_number": "610-376-1981",
            "fax_number": "610-376-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 WESTVIEW DR",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101130",
            "telephone_number": "610-376-1981",
            "fax_number": "610-376-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARIM EYE AND RETINA CENTER LTD. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-07",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "KURTZ",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "610-376-1981"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019662670006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.