Active NPI
Visualeyes, PLLC
- Optometrist
- Erie, PA
National Provider Identifier
1992470769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- VISUALEYES, PLLC
- Practice address
- 1600 Peninsula Dr Ste 15
Erie, PA 16505-4261 - Phone
- (814) 920-5010
- NPI assigned
- Aug 12, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bethany Hilterman Brady, OD
- Title
- Sole Member
- Phone
- (814) 920-5010
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
1600 Peninsula Dr Ste 15
Erie, PA 16505-4261
Mailing address
7376 Garfield Ave
Harborcreek, PA 16421-1405
Phone (814) 873-0792
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0076225210002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211029000361 | PA | Part B Supplier - Clinic/Group Practice | 9830587518 |
Receives reassigned benefits from 2 practitioners Practice locations: Erie, PA |
National Provider Directory
National Provider DirectoryLocations
1600 Peninsula Dr
Ste 15
Erie, PA 16505
Phone (814) 920-5010
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Erie, PA
- NPI 1841206372
-
- Optometrist
- Erie, PA
- NPI 1891544144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628726400000",
"number": "1992470769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7376 GARFIELD AVE",
"city": "HARBORCREEK",
"state": "PA",
"postal_code": "164211405",
"telephone_number": "814-873-0792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 PENINSULA DR STE 15",
"city": "ERIE",
"state": "PA",
"postal_code": "165054261",
"telephone_number": "814-920-5010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISUALEYES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-12",
"last_updated": "2021-08-12",
"certification_date": "2021-07-15",
"status": "A",
"authorized_official_last_name": "BRADY",
"authorized_official_first_name": "BETHANY",
"authorized_official_middle_name": "HILTERMAN",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "814-920-5010",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0076225210002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.