Icu2Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

ICU2INC

Practice address

Rte 6 Trap Plaza
Eynon, PA 18403

Phone

(570) 876-5200

Fax

(570) 876-5612

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Gina M Tanana

Title

Optician/Tech

Phone

(570) 876-5200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Clear Image Optical Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deborah M Gdovin, OD

  • Optometrist
  • Pittston, PA
  • NPI 1952335580

  PA

  Medicare reassignment NPD
• Roseann Marie Rupp-Maiolatesi, O.D.

  • Optometrist
  • Olyphant, PA
  • NPI 1972650943

  PA

  Medicare reassignment

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1003961723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RTE 6 TRAP PLAZA",
            "city": "EYNON",
            "state": "PA",
            "postal_code": "18403",
            "telephone_number": "570-876-5200",
            "fax_number": "570-876-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RTE 6 TRAP PLAZA",
            "city": "EYNON",
            "state": "PA",
            "postal_code": "18403",
            "telephone_number": "570-876-5200",
            "fax_number": "570-876-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICU2INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "TANANA",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTICIAN/TECH",
        "authorized_official_telephone_number": "570-876-5200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE (PTAN)",
            "identifier": "123944",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Image Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Frontenac Dialysis LLC
• Jason J Hanyon, DMD
• Travis Malkolm Holmes
• Rachel Homitz, LCSW
• Caitlin Hunter
• K-P Chiropractic Center LLC.
• Jill Marie Konosky, D.C.
• Peter J Krenitsky, DDS
• Krisiak Chiropractic, P.C.
• Nicholas Lopuhovsky

• All providers in Eynon, PA
• Eyewear Supplier in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.