Berks Family Eyecare P C

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000172 Issued in PA

Legal business name

BERKS FAMILY EYECARE P C

Practice address

247 E Penn Ave
Wernersville, PA 19565-1613

Phone

(610) 678-7202

Fax

(610) 678-9866

NPI assigned

Jun 22, 2005

Organization subpart

No

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

Authorized official

Name

Kimberly Ann Miller

Title

Office Manager

Phone

(610) 678-7202

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Berks Family Eyecare P C

  • Durable Medical Equipment & Medical Supplies
  • Birdsboro, PA
  • NPI 1669470209

  6709983109

  Same PAC ID
• Berks Family Eyecare P C

  • Durable Medical Equipment & Medical Supplies
  • Wernersville, PA
  • NPI 1861490047

  6709983109

  Same PAC ID

Tax ID family

Berks Family Eyecare PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Berks Family Eyecare P C

  • Durable Medical Equipment & Medical Supplies
  • Birdsboro, PA
  • NPI 1669470209
  NPD tax ID
• Berks Family Eyecare P C

  • Durable Medical Equipment & Medical Supplies
  • Wernersville, PA
  • NPI 1861490047
  NPD tax ID

Practitioners 2

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

• Dawn E Hornberger, O.D.

  • Optometrist
  • Wernersville, PA
  • NPI 1821094137
  Medicare reassignment NPD
• Kristen Jean Roseman, O.D.

  • Optometrist
  • Macungie, PA
  • NPI 1013902717
  Medicare reassignment NPD

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1982600136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 E PENN AVE",
            "city": "WERNERSVILLE",
            "state": "PA",
            "postal_code": "195651613",
            "telephone_number": "610-678-7202",
            "fax_number": "610-678-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 E PENN AVE",
            "city": "WERNERSVILLE",
            "state": "PA",
            "postal_code": "195651613",
            "telephone_number": "610-678-7202",
            "fax_number": "610-678-9866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "224 N Mill St",
            "address_purpose": "LOCATION",
            "city": "Birdsboro",
            "state": "PA",
            "postal_code": "195082028",
            "country_code": "US",
            "telephone_number": "610-582-6000",
            "fax_number": "610-582-6002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "224 N Mill St",
            "address_purpose": "LOCATION",
            "city": "Birdsboro",
            "state": "PA",
            "postal_code": "195082028",
            "country_code": "US",
            "telephone_number": "610-582-6000",
            "fax_number": "610-582-6002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BERKS FAMILY EYECARE P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-678-7202"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000172",
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "PA",
            "license": "OEG000172",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3761630",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "806T",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG1504",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "001919333",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02667300",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aj Giesa DMD LLC
• Sarah Alley, MA
• Jenell August, CRNP
• Demetria Bazemore-Anderson
• Berks Family Eyecare P C
• Irene Biondo
• Harry Norman Blumner III, PSD
• Donna Boulanger, MS, OTR/L
• Boylan & Burek Chiropractic, PC
• Christopher Boylan, D.C.

• Optometrist in Wernersville, PA
• Providers in Wernersville, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.