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RETA GUIRGUIS
NPI 1619366036
Optometrist in Exton, PA

Active since January 22, 2015PECOS EnrolledAccepts Medicare Assignment
119 E SWEDESFORD RD, EXTON, PA 19341(610) 594-0800(610) 594-0801 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 8, 2021, Jun 4, 2019, May 22, 2018 (3 updates tracked since 2018).

About Reta Guirguis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RETA GUIRGUIS (NPI 1619366036) is an individual optometrist in Exton, Pennsylvania, licensed in Pennsylvania (OEG003116) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2014).

NPPES Registry Identity

NPI1619366036
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameRETA GUIRGUIS
Location Address119 E SWEDESFORD RDExton, PA 19341-2333
Mailing Address1950 Old Gallows Rd Ste 520Vienna, VA 22182-3970
Phone(610) 594-0800
Fax(610) 594-0801
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 2014
Enumeration DateJanuary 22, 2015
Last NPPES UpdateNovember 8, 20213 updates tracked since enumeration
NPPES CertifiedNovember 8, 2021
✔ NPI 1619366036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in PA · OEG003116✔ Licensed in FL · OPC4985
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
119 E SWEDESFORD RD, Exton, PA 19341
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Reta Guirguis is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921383779
PECOS Enrollment IDI20170320000210
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
34 services33 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services15 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19341 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MYEYEDR OPTOMETRY OF PENNSYLVANIA, LLC
Optometrist
119 E SWEDESFORD RD
EXTON, PA 19341
Chester County (610) 594-0800
DR. SUSAN JEAN LOCKLAND O.D.
Optometrist
119 E SWEDESFORD RD
EXTON, PA 19341
Chester County (610) 594-0800
DIANA LEIGH RIES O.D.
Optometrist
119 E SWEDESFORD RD
EXTON, PA 19341
Chester County (610) 594-0800
CHESTER COUNTY OPTICIANS, INC
Eyewear Supplier
119 E SWEDESFORD RD, FAIRFIELD SHOPPING CENTER
EXTON, PA 19341
Chester County (610) 594-0800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Reta Guirguis's NPI number?

The NPI number for Reta Guirguis is 1619366036. It was assigned to this individual provider in the NPPES registry on January 22, 2015.

Where is Reta Guirguis located?

Reta Guirguis practices at 119 E Swedesford Rd, Exton, PA 19341. The listed phone number is (610) 594-0800.

What is Reta Guirguis's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Reta Guirguis enrolled in Medicare?

Yes. Reta Guirguis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Reta Guirguis accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 6 other insurers list Reta Guirguis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Reta Guirguis was last updated on November 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.