NPIMap

Organization Active NPI

Eye Consultants of Pennsylvania, PC

  • Ophthalmology Physician
  • Pottstown, PA
National Provider Identifier
1962696328
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE CONSULTANTS OF PENNSYLVANIA, PC
Practice address
293 Armand Hammer Blvd
Pottstown, PA 19464-7002
Phone
(610) 327-8528
Fax
(610) 327-4155
NPI assigned
Aug 29, 2007
Last updated
Jun 23, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
EYE CONSULTANTS OF PENNSYLVANIA, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Authorized official

Name
Mr. Charles I Busack, MHA
Title
Administrator
Phone
(610) 378-1348

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU
Corneal and Contact Management Optometrist 152WC0802X NU
Low Vision Rehabilitation Optometrist 152WL0500X NU
Vision Therapy Optometrist 152WV0400X NU
Ophthalmology Physician 207W00000X NU Primary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X NU
Neuro-ophthalmology Physician 207WX0109X NU
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X NU
Cornea and External Diseases Specialist Physician 207WX0120X NU
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X NU
Retina Specialist (Ophthalmology) Physician 207WX0107X NU

Addresses

Primary practice location

293 Armand Hammer Blvd
Pottstown, PA 19464-7002

Mailing address

1 Granite Point Dr Ste 100
Wyomissing, PA 19610-1992
Phone (610) 378-1344

Other identifiers 2

IdentifierTypeStateIssuer
0006688410019MedicaidPA
0006688410024MedicaidPA

Other names 1

  • EYE CONSULTANTS OF PENNSYLVANIA, PC Former legal business name

National Provider Directory

National Provider Directory
Part of
Eye Consult of PA PC

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

293 Armand Hammer Blvd
Pottstown, PA 19464
Phone (610) 327-8528

1 Granite Point Dr
Ste 100
Wyomissing, PA 19610
Phone (610) 378-1344

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 24

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 24

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1962696328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GRANITE POINT DR STE 100",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101992",
            "telephone_number": "610-378-1344",
            "fax_number": "610-378-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 ARMAND HAMMER BLVD",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194647002",
            "telephone_number": "610-327-8528",
            "fax_number": "610-327-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CONSULTANTS OF PENNSYLVANIA, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYE CONSULTANTS OF PENNSYLVANIA, PC",
        "enumeration_date": "2007-08-29",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "BUSACK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "610-378-1348",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0109X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006688410019",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006688410024",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYE CONSULTANTS OF PENNSYLVANIA, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "EYE CONSULTANTS OF PENNSYLVANIA, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pottstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.