Individual provider Active NPI

Delia Landy, O.D.

  • Optometrist
  • Bradford, PA
National Provider Identifier
1003129123
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002555 Issued in PA
Practice address
20 Main Street
Bradford, PA 16701-2004
Phone
(814) 368-7090
NPI assigned
Jul 18, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 842 NH
Optometrist 152W00000X TUV007766-1 NY
Optometrist 152W00000X OEG002555 PA Primary

Addresses

Primary practice location

20 Main Street
Bradford, PA 16701-2004

Mailing address

181 Colfax St
Jamestown, NY 14701-7762
Phone (773) 620-5993

Other names 1

  • Dr. Delia Groshek Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111213000674 PA Practitioner - Optometry 5991970352 Reassigns benefits to 1 organization
I20200428001633 NY Practitioner - Optometry 5991970352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jamestown Optometric Group, PCGroup PAC ID 2365569423, 5 clinicians

Practice addresses (Care Compare)

555 Fairmount Ave
Jamestown, NY 14701-2750
Phone (716) 664-7601

Merit-based Incentive Payment System (MIPS)

Final score
89.57 of 100Reported as group
Quality
79.13
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007766NYMDMental Health Counselor
TUV007766-1NYMDOptometrist
842NHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eye Health Center P C Optometrist CurrentSince Oct 1, 2011 Accepting new patients
Jamestown Optometric Group, PC Optometrist CurrentSince Jan 4, 2020 Accepting new patients

Locations

555 Fairmount Ave
Jamestown, NY 14701
Phone (716) 664-7601

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1003129123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 COLFAX ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147017762",
            "telephone_number": "773-620-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MAIN STREET",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167012004",
            "telephone_number": "814-368-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDY",
        "first_name": "DELIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-18",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "842",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007766-1",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DELIA",
            "last_name": "GROSHEK",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bradford, PA

Sources for this page

Verify at the official NPI Registry.