Organization Active NPI

Sharkey-Kokosky,O.D.,P.C.

  • Optometrist
  • Northampton, PA
National Provider Identifier
1003968041
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000244 Issued in PA
Legal business name
SHARKEY-KOKOSKY,O.D.,P.C.
Practice address
1935 Center St
Northampton, PA 18067-1362
Phone
(610) 262-2091
Fax
(610) 262-2239
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Authorized official

Name
Dr. Shannon Sharkey, O.D.NPI 1124180633
Title
Optometrist, President
Phone
(610) 262-2091

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG000244 PA Primary

Addresses

Primary practice location

1935 Center St
Northampton, PA 18067-1362

Mailing address

1935 Center St
Northampton, PA 18067-1362
Phone (610) 262-2091

Other identifiers 3

IdentifierTypeStateIssuer
3118323OtherPAUSHC
AN1430980OtherPABLUE SHIELD
02916500OtherPACAPITAL BLUE CROSS

Other names 1

  • Angello, Sharkey & Kokosky, O.D. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050426000381 PA Part B Supplier - Clinic/Group Practice 0143269522 Receives reassigned benefits from 2 practitioners
Practice locations: Northampton, PA

National Provider Directory

National Provider Directory

Locations

1935 Center St
Northampton, PA 18067
Phone (610) 262-2091

1935 Center St
#37
Northampton, PA 18067
Phone (610) 262-2091

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1003968041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 CENTER ST",
            "city": "NORTHAMPTON",
            "state": "PA",
            "postal_code": "180671362",
            "telephone_number": "610-262-2091",
            "fax_number": "610-262-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 CENTER ST",
            "city": "NORTHAMPTON",
            "state": "PA",
            "postal_code": "180671362",
            "telephone_number": "610-262-2091",
            "fax_number": "610-262-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARKEY-KOKOSKY,O.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "SHARKEY",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OPTOMETRIST, PRESIDENT",
        "authorized_official_telephone_number": "610-262-2091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USHC",
            "identifier": "3118323",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "AN1430980",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02916500",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angello, Sharkey & Kokosky, O.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northampton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.