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BROOKHAVEN VISION SOURCE
NPI 1760490494
Optometrist in Brookhaven, PA

Active since August 05, 2006
4106 EDGMONT AVE, BROOKHAVEN, PA 19015(610) 872-8989(610) 872-5220 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brookhaven Vision Source NPPES

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

BROOKHAVEN VISION SOURCE (NPI 1760490494) is a healthcare organization registered as an optometrist in Brookhaven, Pennsylvania and active in the NPI registry since August 2006. The organization lists Micaela L Small, President, as its authorized official.

NPPES Registry Identity

NPI1760490494
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameBROOKHAVEN FAMILY EYE CARE CENTER
Location Address4106 EDGMONT AVEBrookhaven, PA 19015-2314
Mailing Address4106 Edgmont AveBrookhaven, PA 19015-2314 · (610) 872-8989 · Fax (610) 872-5220
Phone(610) 872-8989
Fax(610) 872-5220
Organization SubpartNo
Authorized OfficialMicaela L SmallPresident · (610) 872-8989
Enumeration DateAugust 5, 2006
Last NPPES UpdateMay 14, 2024
NPPES CertifiedMay 14, 2024
✔ NPI 1760490494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in PA · OEG001547
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.
Also ListedEyewear SupplierTaxonomy 332H00000X · License OEG001547 (PA)
4106 EDGMONT AVE, Brookhaven, PA 19015
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Other Names 1

Doing Business AsBrookhaven Vision Source

Other Identifiers 5

Other2628516PA · Aetna Group Hmo
OtherCM9120PA · Railroad Medicare
Other5498366PA · Aetna Universal Group
Other2115330000PA · Independence Blue Cross
Other001429488PA · Highmark

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

JACQUELINE RITA DE JESSE OD
Optometrist
4106 EDGMONT AVE
BROOKHAVEN, PA 19015
Delaware County (610) 872-8989

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 Brookhaven Family Eye Care Center's NPI number?

The NPI number for Brookhaven Family Eye Care Center is 1760490494. It was assigned to this organization in the NPPES registry on August 5, 2006. The provider is doing business as Brookhaven Vision Source.

Where is Brookhaven Family Eye Care Center located?

Brookhaven Family Eye Care Center is located at 4106 Edgmont Ave, Brookhaven, PA 19015. The listed phone number is (610) 872-8989.

What is Brookhaven Family Eye Care Center's specialty?

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

When was this NPI record last updated?

The NPPES record for Brookhaven Family Eye Care Center was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.