Organization Active NPI

Suburban Eye Associates, PC

Doing business as Sea PC

  • Ophthalmology Physician
  • Jenkintown, PA
National Provider Identifier
1942228853
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD019646E Issued in PA
Legal business name
SUBURBAN EYE ASSOCIATES, PC
Doing business as
Sea PC
Practice address
510 West Ave
Jenkintown, PA 19046-2725
Phone
(215) 884-8419
Fax
(215) 884-8127
NPI assigned
Jul 18, 2006
Last updated
Jan 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Authorized official

Name
Mrs. Kim Horner
Title
Office Manager
Phone
(215) 884-8419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD019646E PA Primary

Addresses

Primary practice location

510 West Ave
Jenkintown, PA 19046-2725

Mailing address

510 West Ave
PO Box 2099
Jenkintown, PA 19046-2725
Phone (215) 884-8419

Other names 1

  • SEA PC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040712000945 PA Part B Supplier - Clinic/Group Practice 1658359039 Receives reassigned benefits from 7 practitioners
Practice locations: Huntingdon Valley, PA

National Provider Directory

National Provider Directory

Locations

119 York Rd
Jenkintown, PA 19046
Phone (215) 884-8419

Practitioners & affiliated clinicians

Practitioners 8

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": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1942228853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 WEST AVE",
            "address_2": "PO BOX 2099",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462725",
            "telephone_number": "215-884-8419",
            "fax_number": "215-884-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 WEST AVE",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462725",
            "telephone_number": "215-884-8419",
            "fax_number": "215-884-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN EYE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "HORNER",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-884-8419",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD019646E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEA PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jenkintown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.