DR. CONNIE L CHRONISTER (NPI# 1992713762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992713762 |
| Entity Type | Individual |
| Full Name | DR. CONNIE L CHRONISTER |
| Credential | OD |
| Practice Address |
1200 W Godfrey Ave Philadelphia PA 19141-3323 |
| Mailing Address |
1246 Susquehanna Rd Rydal PA 19046-1825 |
| Practice Telephone | 2152766000 |
| Mailing Telephone | 2158841153 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2012-02-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OEG001004 | PA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | BLUE SHIELD | BLUE SHIELD | 01 |
| PA | HMO | AETNA HMO | 01 |
| Street Address |
1200 W GODFREY AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19141-3323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720077902 | Stanley W Hatch | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2005-10-19 |
| 1487264438 | Fiza Tariq | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2020-08-05 |
| 1376151043 | Shaghayegh Mohebbi Hesari | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2020-07-20 |
| 1710505490 | Julia Gabrielle Runco | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2020-07-09 |
| 1013535798 | Laura Ann Davis | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2020-07-09 |
| 1013535848 | Elizabeth Marie Marunde | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2020-07-08 |
| 1518585330 | Milena Stefanovic | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2020-07-08 |
| 1528686375 | James Harrison Forde | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2020-07-08 |
| 1730707571 | Preet Dhami | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2020-07-08 |
| 1205454055 | Dominic Letray Brown | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2020-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375925 | Meredith Jeanne Behr | Physician Assistant | 5401 N Broad St, Philadelphia, PA 19141 | 2020-07-31 |
| 1811552896 | Kristine Nissley | Registered Nurse | Einstein Urology Associates, 1200 West Tabor Road, 3rd Floor, Philadelphia, PA 19141 | 2019-05-06 |
| 1427525054 | Danielle Dicicco Havelin | Social Worker | 1314 Windrim Ave, Philadelphia, PA 19141 | 2018-11-01 |
| 1568956043 | Reid Thomas Alley | Psychiatry & Neurology | Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 | 2018-06-19 |
| 1912409533 | Lauren Joy Barton | Physician Assistant | 5401 N Broad St Ste 363, Philadelphia, PA 19141 | 2018-02-28 |
| 1952819633 | Einstein Practice Plan, Inc. | Internal Medicine | 5501 Old York Rd Fl Moss3, Philadelphia, PA 19141 | 2018-01-17 |
| 1043739642 | Lauren Lynn Pleis | Nurse Practitioner | 1200 Tabor Road, Philadelphia, PA 19141 | 2017-09-14 |
| 1225558224 | Ryan A. Hoffman | Student in an Organized Health Care Education/Training Program | Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA 19141 | 2017-06-21 |
| 1972036515 | Hussein Safa | Family Medicine | 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 | 2017-04-11 |
| 1366895500 | Ejaz Mahmood | Student in an Organized Health Care Education/Training Program | 5501, Old York Road, Albert Einstein Medical Centre, Philadelphia, PA 19141 | 2016-07-22 |
| Find all providers in zip 19141 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994923 | Chauncey Eyecare Associates Pllc | Optometrist | 6001 N 5th St Ofc, Philadelphia, PA 19120-1873 | 2019-10-28 |
| 1427604982 | Wendy Lin | Optometrist | 2828 Almond St, Philadelphia, PA 19134-4710 | 2019-08-12 |
| 1174182588 | Harbison Eye Care LLC | Optometrist | 5597 Tulip St Ste B8, Philadelphia, PA 19124-1562 | 2019-06-10 |
| 1346809738 | Steven Judson Moon | Optometrist | 1501 N Broad St Ste 7, Philadelphia, PA 19122-3319 | 2019-06-10 |
| 1639644172 | Om Optical | Optometrist | 1318 Walnut St, Philadelphia, PA 19107-5410 | 2018-10-11 |
| 1770063687 | Brian Johnson | Optometrist | 1200 W Godfrey Avenue, Philadelphia, PA 19141-3323 | 2018-08-20 |
| 1508365784 | C Vision Inc | Optometrist | 1230 Chestnut St, Philadelphia, PA 19107-4849 | 2018-02-02 |
| 1043737943 | Wills Eye Optical Two, LLC | Optometrist | 800 Arch St, Philadelphia, PA 19107-3188 | 2017-08-23 |
| 1255854295 | Jin Gao | Optometrist | 602 N 11th St, Philadelphia, PA 19123-3324 | 2017-07-21 |
| 1043765050 | Chauncey Brown Jr. | Optometrist | 6001 N 5th Street, Office, Philadelphia, PA 19120-1825 | 2016-08-19 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19141 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.