Eye Masters Vision Center, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000124 Issued in PA

Legal business name

EYE MASTERS VISION CENTER, LLC

Practice address

2300 Computer Avenue
Suite A2
Willow Grove, PA 19090-1733

Phone

(215) 659-1155

Fax

(215) 659-1178

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mary B Okoren, ODNPI 1396752465

Title

Ceo

Phone

(215) 659-1155

Specialties & licenses 1

Addresses

Other names 1

• Willow Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

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

• Mary B Okoren, OD

  • Optometrist
  • Willow Grove, PA
  • NPI 1396752465
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1972615680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 COMPUTER AVENUE",
            "address_2": "SUITE A2",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901733",
            "telephone_number": "215-659-1155",
            "fax_number": "215-659-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 COMPUTER AVENUE",
            "address_2": "SUITE A2",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901733",
            "telephone_number": "215-659-1155",
            "fax_number": "215-659-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE MASTERS VISION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "OKOREN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-659-1155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patrice Anne Erik, P.T.
• Kimberly Erikson, PA-C
• Errands on the Go
• Maria-Ramona A Evidente, MD
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• Family Medical Supply LLC
• Terri Lee J Fechnay, PH,D.
• Beth Feingold
• Melissa Felicetti, ATC

• Optometrist in Willow Grove, PA
• Providers in Willow Grove, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; 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.