Provider Demographics
NPI:1346224490
Name:NEVYAS EYE ASSOCIATES, PC
Entity type:Organization
Organization Name:NEVYAS EYE ASSOCIATES, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:NEVYAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-668-2777
Mailing Address - Street 1:333 E CITY AVE
Mailing Address - Street 2:2 BALA PLAZA
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-1501
Mailing Address - Country:US
Mailing Address - Phone:610-668-2777
Mailing Address - Fax:610-668-1509
Practice Address - Street 1:333 E CITY AVE
Practice Address - Street 2:2 BALA PLAZA
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-1501
Practice Address - Country:US
Practice Address - Phone:610-668-2777
Practice Address - Fax:610-668-1509
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEVYAS EYE ASSOCIATES, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-12-02
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA14271500261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007395520001Medicaid
PA60804OtherKEYSTONE MERCY HP
PA01182015-01OtherAMERICHOICE
PA0004452200OtherAETNA PPO
PA57944OtherAETNA HMO
PA0001364000OtherINDEPENDENCE BLUE CROSS
PA6815216OtherCIGNA HEALTH PLAN
PA08374OtherHEALTH PARTNERS
PA08374OtherHEALTH PARTNERS