Individual provider Active NPI

Rhonda Catherine Breuer, O.D.

  • Optometrist
  • Beaver Falls, PA
National Provider Identifier
1013014604
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000248 Issued in PA
Practice address
100 Chippewa Town Ctr
Wal-Mart Vision Center
Beaver Falls, PA 15010-1204
Phone
(724) 843-4200
Fax
(724) 843-7556
NPI assigned
Sep 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000248 PA Primary

Addresses

Primary practice location

100 Chippewa Town Ctr
Wal-Mart Vision Center
Beaver Falls, PA 15010-1204

Mailing address

615 State Route 168
New Galilee, PA 16141-4115
Phone (724) 336-3453

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
I20190924001342 PA Practitioner - Optometry 3173853819 Practice locations: Beaver Falls, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Networks

  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013014604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 STATE ROUTE 168",
            "city": "NEW GALILEE",
            "state": "PA",
            "postal_code": "161414115",
            "telephone_number": "724-336-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHIPPEWA TOWN CTR",
            "address_2": "WAL-MART VISION CENTER",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101204",
            "telephone_number": "724-843-4200",
            "fax_number": "724-843-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREUER",
        "first_name": "RHONDA",
        "middle_name": "CATHERINE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Falls, PA

Sources for this page

Verify at the official NPI Registry.