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Export Provider Record NPI 1073076097
Myeyedr Optometry Of Pennsylvania, Llc
Organization Subpart: NO
Active
NPI Number1073076097
NPI TypeNPI-2 Organization
SpecialtyOptometrist
Provider Details
NPI1073076097
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2019-04-08
Last Updated2022-05-27
Authorized OfficialSue Downes
Secretary
Phone: 7038478899
Mailing Address8614 Westwood Center Dr Fl 9
Vienna, VA 22182-2442
United States
Phone: (703) 847-8899 | Fax: (571) 223-6780
📍 View Map
Primary Practice Address841 E Baltimore Pike
Kennett Square, PA 19348-1801
United States
Phone: (610) 444-5252
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes152W00000X – Optometrist--
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About NPI 1073076097

Myeyedr Optometry Of Pennsylvania, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1073076097. The primary specialty listed is Optometrist. The organization is located in Kennett Square, PA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2019-04-08. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1073076097?

NPI 1073076097 belongs to Myeyedr Optometry Of Pennsylvania, Llc, a Optometrist in Kennett Square, PA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1073076097 active?

The current status of NPI 1073076097 in the NPPES registry is Active. The record was last updated on 2022-05-27.

What specialty is NPI 1073076097?

NPI 1073076097 is classified under the taxonomy Optometrist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1073076097?

You can verify NPI 1073076097 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1073076097?

The primary practice address on file for NPI 1073076097 is 841 E Baltimore Pike, Kennett Square, PA 19348-1801. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1073076097 issued?

NPI 1073076097 was first issued (enumerated) on 2019-04-08. The NPPES record was last updated on 2022-05-27.

Practice Location Map

Myeyedr Optometry Of Pennsylvania, Llc is located at 841 E Baltimore Pike, Kennett Square, PA. Use the map below to find directions or verify the practice location.

📍 841 E Baltimore Pike, Kennett Square, PA 19348-1801  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Myeyedr Optometry Of Pennsylvania, Llc. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-08-02 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162