Organization Active NPI

Delaware Valley Vision Associates Group Practice, LLC

  • Ophthalmology Physician
  • King of Prussia, PA
National Provider Identifier
1902907371
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
DELAWARE VALLEY VISION ASSOCIATES GROUP PRACTICE, LLC
Practice address
200 Mall Blvd
King of Prussia, PA 19406-2902
Phone
(610) 337-1580
Fax
(610) 337-2133
NPI assigned
Sep 26, 2006
Last updated
Mar 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Authorized official

Name
Yesenia Ramos
Title
Credentialing
Phone
(732) 750-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

200 Mall Blvd
King of Prussia, PA 19406-2902

Mailing address

1018 W 9TH Ave Ste 100
King of Prussia, PA 19406-1225
Phone (610) 337-1580

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051101000527 PA Part B Supplier - Clinic/Group Practice 6002833753 Receives reassigned benefits from 23 practitioners
Practice locations: Springfield, PA; Warrington, PA; Villanova, PA; Sanatoga, PA; Philadelphia, PA; Easton, PA; King of Prussia, PA; Chadds Ford, PA…

National Provider Directory

National Provider Directory
Tax ID family
Delaware Valley Vision Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2 Christy Dr
Chadds Ford, PA 19317

2 Christy Dr
Ste 105
Chadds Ford, PA 19317
Phone (610) 337-1580

828 Fayette St
Conshohocken, PA 19428
Phone (215) 886-9090

2020 Sullivan Trl
Easton, PA 18040
Phone (610) 258-6666

1806 Swamp Pike
Gilbertsville, PA 19525

419 W County Line Rd
Hatboro, PA 19040
Phone (215) 675-4992

303 Horsham Rd
Ste 1
Horsham, PA 19044

303 Horsham Rd
Ste A
Horsham, PA 19044
Phone (215) 675-4992

1018 W 9th Ave
Fl 1
King of Prussia, PA 19406

1018 W 9th Ave
Ste 100
King of Prussia, PA 19406
Phone (610) 337-1580

1018 W 9th Ave
Kng of Prussa, PA 19406

576 Centerville Rd
Lancaster, PA 17601
Phone (717) 201-3238

100 E Lehigh Ave
Ste 902
Philadelphia, PA 19125

1800 John F Kennedy Blvd
Ste 902
Philadelphia, PA 19103

412 W Lehigh Ave
#1
Philadelphia, PA 19133

412 W Lehigh Ave
Fl 1
Philadelphia, PA 19133
Phone (610) 337-1580

412 W Lehigh Ave
Ste 1
Philadelphia, PA 19133

3277 W Ridge Pike
Pottstown, PA 19464
Phone (610) 272-5341

420 W Linfield Trappe Rd
Ste 3400
Royersford, PA 19468

500 York Rd
Ste 102
Rydal, PA 19046
Phone (215) 885-6830

365 Baltimore Pike Ste 6
Springfield, PA 19064

965 Baltimore Pike
Ste 6
Springfield, PA 19064
Phone (610) 328-7500

865 Easton Rd
Warrington, PA 18976

865 Easton Rd
Ste 240
Warrington, PA 18976
Phone (215) 675-4992

Practitioners & affiliated clinicians

Practitioners 38

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.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1902907371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 W 9TH AVE STE 100",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061225",
            "telephone_number": "610-337-1580",
            "fax_number": "610-337-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MALL BLVD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062902",
            "telephone_number": "610-337-1580",
            "fax_number": "610-337-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE VALLEY VISION ASSOCIATES GROUP PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "YESENIA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "732-750-0400"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

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