Organization Active NPI

Canellavision LLC

  • Durable Medical Equipment & Medical Supplies
  • Erie, PA
National Provider Identifier
1013253004
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
6000007707 Issued in PA
Legal business name
CANELLAVISION LLC
Practice address
2022 W 38TH St
Erie, PA 16508-2020
Phone
(814) 864-1277
Fax
(814) 864-1277
NPI assigned
Dec 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Mr. James Thomas CanellaNPI 1164722971
Title
Owner
Phone
(814) 864-1277

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 6000007707 PA Primary
Eyewear Supplier 332H00000X 6000007707 PA

Addresses

Primary practice location

2022 W 38TH St
Erie, PA 16508-2020

Mailing address

2022 W 38TH St
Erie, PA 16508-2020
Phone (814) 864-1277

National Provider Directory

National Provider Directory

Locations

2022 W 38th St
Erie, PA 16508
Phone (814) 864-1277

Practitioners & affiliated clinicians

Practitioners 1

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": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1013253004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 W 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082020",
            "telephone_number": "814-864-1277",
            "fax_number": "814-864-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 W 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082020",
            "telephone_number": "814-864-1277",
            "fax_number": "814-864-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANELLAVISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "CANELLA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-864-1277",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "6000007707",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "PA",
            "license": "6000007707",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.