Individual provider Active NPI

Alfarhan Johny

  • Optometrist
  • Springfield, PA
National Provider Identifier
1962069575
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003538 Issued in PA
Practice address
1140 Baltimore Pike
Springfield, PA 19064-2850
Phone
(610) 543-8300
NPI assigned
May 20, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003538 PA Primary

Addresses

Primary practice location

1140 Baltimore Pike
Springfield, PA 19064-2850

Mailing address

1140 Baltimore Pike
Springfield, PA 19064-2850
Phone (610) 543-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191120002719 PA Practitioner - Optometry 5092147603 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc CurrentSince Nov 6, 2019 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Nov 6, 2019 Accepting new patients
America'S Best Contacts & Eyeglasses Past Accepting new patients

Locations

560 Millcreek Mall
Erie, PA 16565
Phone (814) 868-8540

116 W Township Line Rd
Unit 204
Havertown, PA 19083
Phone (610) 446-1089

2300 E Lincoln Hwy
Langhorne, PA 19047
Phone (215) 750-3760

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1962069575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 BALTIMORE PIKE",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642850",
            "telephone_number": "610-543-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 BALTIMORE PIKE",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642850",
            "telephone_number": "610-543-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNY",
        "first_name": "ALFARHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, PA

Sources for this page

Verify at the official NPI Registry.