J L Eye Associates, PC

Key facts

NPI

1992902795

Entity type

Organization (NPI type 2)

Primary specialty

Optometrist 152W00000X

License

OEG000061 (PA)

Legal business name

J L EYE ASSOCIATES, PC

Practice address

3990 Ashland Dr
Skippack, PA 19474-0046

Phone

(610) 410-5290

Fax

(610) 584-0314

NPI assigned

Jun 27, 2007

Organization subpart

No

Authorized official

Name

Dr. Jane Lim, O.D. NPI 1770638348

Title

President

Phone

(610) 410-5290

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

• Jane Lim, O.D. Optometrist · Skippack, PA · NPI 1770638348
  Medicare reassignment NPD Authorized official OPTOMETRIST · PA

Medicare participation

Medicare fee-for-service enrollment

Enrolled in PA

Medicare enrollment records

National Provider Directory

Specialties & licenses

Addresses

Other identifiers

Other names

• Skippack Eyecare Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 25, 2016.

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1992902795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 ASHLAND DR",
            "address_2": "46 PO BOX",
            "city": "SKIPPACK",
            "state": "PA",
            "postal_code": "194740046",
            "telephone_number": "610-410-5290",
            "fax_number": "610-584-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 ASHLAND DR",
            "city": "SKIPPACK",
            "state": "PA",
            "postal_code": "194740046",
            "telephone_number": "610-410-5290",
            "fax_number": "610-584-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J L EYE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-410-5290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLARITY BLUE SHIELD",
            "identifier": "1356407",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "937240A",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "7318153",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029527140001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410047467",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skippack Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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All providers in Skippack, PA · Optometrist in Pennsylvania