Individual provider Active NPI

Erich Breunig, OD

  • Optometrist
  • Spring House, PA
National Provider Identifier
1992761720
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000221 Issued in PA
Practice address
952 Penllyn Pike
Spring House, PA 19477-0000
Phone
(215) 628-8799
Fax
(215) 628-8798
NPI assigned
Apr 21, 2006
Last updated
Feb 3, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000221 PA Primary

Addresses

Primary practice location

952 Penllyn Pike
Spring House, PA 19477-0000

Mailing address

952 Penllyn Pike
Spring House, PA 19477-0000
Phone (215) 628-8799

Other identifiers 1

IdentifierTypeStateIssuer
BR866567OtherPABLUE CROSS

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
I20040504000277 PA Practitioner - Optometry 1052309523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spring House Eye Associates LLCGroup PAC ID 9032109533, 4 clinicians

Practice addresses (Care Compare)

1005 Penllyn Pike
PO Box 75
Spring House, PA 19477-0075

PO Box
Suite 75
Spring House, PA 19477-0075
Phone (215) 628-8799

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000221PAMDOptometrist

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296691200000",
    "number": "1992761720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 PENLLYN PIKE",
            "city": "SPRING HOUSE",
            "state": "PA",
            "postal_code": "194770000",
            "telephone_number": "215-628-8799",
            "fax_number": "215-628-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 PENLLYN PIKE",
            "city": "SPRING HOUSE",
            "state": "PA",
            "postal_code": "194770000",
            "telephone_number": "215-628-8799",
            "fax_number": "215-628-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREUNIG",
        "first_name": "ERICH",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2011-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "BR866567",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring House, PA

Sources for this page

Verify at the official NPI Registry.