Individual provider Active NPI

Perry Umlauf, O.D.

  • Optometrist
  • Harrisburg, PA
National Provider Identifier
1003884172
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG-0006826 Issued in PA
Practice address
92 Tuscarora St
Harrisburg, PA 17104-1667
Phone
(717) 232-0845
Fax
(717) 232-3294
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG-0006826 PA Primary
Optometrist 152W00000X 2701 CO

Addresses

Primary practice location

92 Tuscarora St
Harrisburg, PA 17104-1667

Mailing address

92 Tuscarora St
Harrisburg, PA 17104-1667
Phone (717) 232-0845

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
I20130903000504 PA Practitioner - Optometry 8224189659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wyomissing Optometric Center, Inc.Group PAC ID 3274427208, 6 clinicians

Practice addresses (Care Compare)

50 Berkshire CT
Wyomissing, PA 19610-1219
Phone (610) 374-3134

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
OEG-0006826PAMDOptometrist
2701COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Anesthesia Concepts Inc Past Accepting new patients
Cherry Creek Eye Physicians & PastSince Dec 31, 2001 Accepting new patients

Organizations & group practices 3

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1003884172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 TUSCARORA ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041667",
            "telephone_number": "717-232-0845",
            "fax_number": "717-232-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 TUSCARORA ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041667",
            "telephone_number": "717-232-0845",
            "fax_number": "717-232-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMLAUF",
        "first_name": "PERRY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG-0006826",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2701",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.