BROOKHAVEN VISION SOURCE
NPI 1760490494
Optometrist in Brookhaven, PA

Q: 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.

Q: What is Brookhaven Family Eye Care Center's specialty?

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

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: October 18, 2026.

On this page

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

Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brookhaven Vision Source is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Brookhaven Vision Source, which bills Medicare for the services this clinician delivers.

Clinician (1)

Micaela Small

Optometry

NPI 1619461704

1924 COUNTY LINE RD
Huntingdon Valley, PA 19006

(215) 357-9011

✔ PECOS✔ Accepts Medicare27 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Brookhaven Family Eye Care Center enrolled in Medicare?

Yes. Brookhaven Family Eye Care Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brookhaven Family Eye Care Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Brookhaven Family Eye Care Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Brookhaven Family Eye Care Center accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Brookhaven Family Eye Care Center 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 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.