NPIMap

Organization Active NPI

Ophthalmic Partners of Pennsylvania, PC

  • Ophthalmology Physician
  • Bala Cynwyd, PA
National Provider Identifier
1912970666
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD052294L Issued in PA
Legal business name
OPHTHALMIC PARTNERS OF PENNSYLVANIA, PC
Practice address
100 Presidential Blvd
Suite 200
Bala Cynwyd, PA 19004-1108
Phone
(484) 434-2700
Fax
(610) 660-0419
NPI assigned
Feb 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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

Authorized official

Name
Julia Lee, JD
Title
Executive Director
Phone
(484) 434-2700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OEG002793 PA
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X MD052294L PA Primary

Addresses

Primary practice location

100 Presidential Blvd
Suite 200
Bala Cynwyd, PA 19004-1108

Mailing address

100 Presidential Blvd
Suite 200
Bala Cynwyd, PA 19004-1108
Phone (484) 434-2700

Other identifiers 1

IdentifierTypeStateIssuer
0010607290012MedicaidPA

National Provider Directory

National Provider Directory

Locations

40 Monument Rd
Ste 500
Bala Cynwyd, PA 19004

40 Monument Rd
Fl Fifth
Bala Cynwyd, PA 19004
Phone (610) 664-8880

8400 Roosevelt Blvd
Philadelphia, PA 19152
Phone (215) 331-1366

840 Walnut St
Ste 1210
Philadelphia, PA 19107
Phone (215) 928-3240

219 N Broad St
Fl 5
Philadelphia, PA 19107
Phone (215) 762-6070

9892 Bustleton Ave
Ste 203
Philadelphia, PA 19115
Phone (215) 856-9880

Practitioners & affiliated clinicians

Practitioners 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404172800000",
    "number": "1912970666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PRESIDENTIAL BLVD",
            "address_2": "SUITE 200",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041108",
            "telephone_number": "484-434-2700",
            "fax_number": "610-660-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PRESIDENTIAL BLVD",
            "address_2": "SUITE 200",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041108",
            "telephone_number": "484-434-2700",
            "fax_number": "610-660-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMIC PARTNERS OF PENNSYLVANIA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-10",
        "last_updated": "2014-07-01",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "484-434-2700",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002793",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD052294L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010607290012",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.