Provider Demographics
NPI:1730163254
Name:NEVYAS EYE ASSOCIATES, PC
Entity type:Organization
Organization Name:NEVYAS EYE ASSOCIATES, PC
Other - Org Name:
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:610-668-2935
Mailing Address - Street 1:2 BALA PLAZA
Mailing Address - Street 2:333 E CITY AVE
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004
Mailing Address - Country:US
Mailing Address - Phone:610-668-1192
Mailing Address - Fax:610-668-1509
Practice Address - Street 1:2 BALA PLAZA
Practice Address - Street 2:333 E CITY AVE
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004
Practice Address - Country:US
Practice Address - Phone:610-668-1192
Practice Address - Fax:610-668-1509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-30
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0053224000OtherKEYSTONE HEALTH PLAN
PAG0005116OtherAMERICHOICE
PA10240OtherHEALTH PARTNERS
PA31236OtherKEYSTONE MERCY HP
PA0053224000OtherPERSONAL CHOICE
PA04422036OtherAETNA PPO
PA177309OtherPA BLUE SHIELD
PA3490904OtherNJ MEDICAID
PA480555OtherAETNA HMO
PA1007395520009Medicaid
PA0053224000OtherKEYSTONE HEALTH PLAN
PA=========OtherCOVENTRY HEALTHCARE
PA=========OtherDEVON HC
PA0053224000OtherPERSONAL CHOICE
PA04422036OtherAETNA PPO
PA3490904OtherNJ MEDICAID
PA10240OtherHEALTH PARTNERS
PA3490904OtherNJ MEDICAID
PACA2279Medicare PIN