Individual provider Active NPI

Elizabeth Anne Tunall, OD

  • Optometrist
  • Cranberry Township, PA
National Provider Identifier
1003540295
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003931 Issued in PA
Practice address
6501 Mars Rd
Cranberry Township, PA 16066-5109
Phone
(724) 553-5555
NPI assigned
Jul 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003931 PA Primary

Addresses

Primary practice location

6501 Mars Rd
Cranberry Township, PA 16066-5109

Mailing address

758 4TH St
Oakmont, PA 15139-1530
Phone (814) 331-5707

Other practice location 1

575 Lincoln Ave
Bellevue, PA 15202-3550
Phone (412) 766-8875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230321000032 PA Practitioner - Optometry 4587038278 Reassigns benefits to 2 organizations
Practice locations: New Castle, PA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Premier Eyecare of Cranberry Inc.Group PAC ID 4587893193, 2 clinicians

Practice addresses (Care Compare)

6501 Marrs Rd
Cranberry Township, PA 16066-5109
Phone (724) 553-5555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003931PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optometric Care, Inc Optometrist CurrentSince Dec 7, 2022 Accepting new patients
Premier Eyecare of Cranberry Inc Optometrist CurrentSince Dec 7, 2022 Accepting new patients

Locations

2576 Brodhead Rd
Aliquippa, PA 15001
Phone (724) 378-8585

575 Lincoln Ave
Bellevue, PA 15202
Phone (412) 734-1100

539 Lincoln Ave
Bellevue, PA 15202
Phone (412) 734-3664

6501 Mars Rd
Cranberry Twp, PA 16066
Phone (724) 553-5555

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": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1003540295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 4TH ST",
            "city": "OAKMONT",
            "state": "PA",
            "postal_code": "151391530",
            "telephone_number": "814-331-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 MARS RD",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160665109",
            "telephone_number": "724-553-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "PA",
            "postal_code": "152023550",
            "country_code": "US",
            "telephone_number": "412-766-8875",
            "fax_number": "412-766-5760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUNALL",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-13",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry Township, PA

Sources for this page

Verify at the official NPI Registry.