NPIMap

Organization Active NPI

Personal Eyes, LLC

  • Optometrist
  • Paoli, PA
National Provider Identifier
1912235995
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002034 Issued in PA
Legal business name
PERSONAL EYES, LLC
Practice address
1776 E Lancaster Ave
2
Paoli, PA 19301-1550
Phone
(610) 647-2502
Fax
(610) 647-2592
NPI assigned
Dec 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Authorized official

Name
Dr. Marie T Homa-Palladino, O.D.NPI 1407955230
Title
Owner
Phone
(610) 647-2502

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG002034 PA Primary

Addresses

Primary practice location

1776 E Lancaster Ave
2
Paoli, PA 19301-1550

Mailing address

1776 E Lancaster Ave
2
Paoli, PA 19301-1550
Phone (610) 647-2502

Other identifiers 1

IdentifierTypeStateIssuer
170040OtherPAMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

1776 Lancaster Ave
Ste 2
Paoli, PA 19301
Phone (610) 647-2502

Practitioners & affiliated clinicians

Practitioners 1

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": "1259712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1912235995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 E LANCASTER AVE",
            "address_2": "2",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011550",
            "telephone_number": "610-647-2502",
            "fax_number": "610-647-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 E LANCASTER AVE",
            "address_2": "2",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011550",
            "telephone_number": "610-647-2502",
            "fax_number": "610-647-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL EYES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-02",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "HOMA-PALLADINO",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-647-2502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "170040",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.