VALLEY FORGE EYE CARE – NPI #1275835829
Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
VALLEY FORGE EYE CARE is an AHC clinic located in PHOENIXVILLE, PA. NPPES has assigned the NPI number 1275835829 to VALLEY FORGE EYE CARE on December 01, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “VALLEY FORGE EYE CARE” is a dba name, the actual legal business name for this organization is SHANNON M. BURGESS, OD. The primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty
The NPI profile was previously updated about 15 years ago on Aug 25, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VALLEY FORGE EYE CARE below.
NPI Profile for
SHANNON M. BURGESS, OD
(more than 15 years ago)
SUITE 108
PHOENIXVILLE, PA 19460-2691 Phone: (610) 917-0700 Fax: (610) 917-0708
OPTOMETRIST
Phone: (610) 917-0700
Identifiers for VALLEY FORGE EYE CARE
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BLUE SHIELD | 001321149 | |
| OTHER | CAPITAL BLUE CROSS | 50004981 | |
| OTHER | KEYSTONE HEALTH PLAN | 2013716000 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QM2500X - Clinic/Center / Medical Specialty (Primary) |
PA | OEG000127 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.