Individual provider Active NPI

Thomas Balitski, OD

  • Optometrist
  • Washington, PA
National Provider Identifier
1003814559
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000676 Issued in PA
Practice address
400 Locust Ave Ste 2
Washington, PA 15301-3397
Phone
(724) 228-1028
Fax
(888) 506-6237
NPI assigned
Jul 8, 2005
Last updated
Jun 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000676 PA Primary
Corneal and Contact Management Optometrist 152WC0802X OEG000676 PA

Addresses

Primary practice location

400 Locust Ave Ste 2
Washington, PA 15301-3397

Mailing address

400 Locust Ave Ste 2
Washington, PA 15301-3397
Phone (724) 228-1028

Other identifiers 6

IdentifierTypeStateIssuer
234607OtherPAHEALTHAMERICA GRP. #
1317065OtherPAHIGHMARK GRP. #
314110OtherPAUPMC
0001266939001MedicaidPA
255641OtherPAHEALTHAMERICA IND. #
BA701466OtherPAHIGHMARK IND. #

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
I20120404000562 PA Practitioner - Optometry 6305006057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 Locust Ave
Suite 2
Washington, PA 15301-3397
Phone (724) 228-1028

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000676PAMDCorneal and Contact Management Optometrist

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1003814559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LOCUST AVE STE 2",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013397",
            "telephone_number": "724-228-1028",
            "fax_number": "888-506-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LOCUST AVE STE 2",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013397",
            "telephone_number": "724-228-1028",
            "fax_number": "888-506-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALITSKI",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000676",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "PA",
            "license": "OEG000676",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHAMERICA GRP. #",
            "identifier": "234607",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK GRP. #",
            "identifier": "1317065",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "314110",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001266939001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHAMERICA IND. #",
            "identifier": "255641",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK IND. #",
            "identifier": "BA701466",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.