Individual provider Active NPI

Allegra M Inciardi, OD

  • Optometrist
  • Havertown, PA
National Provider Identifier
1013494517
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003447 Issued in PA
Practice address
56 W Eagle Rd
Havertown, PA 19083-1447
Phone
(610) 446-8080
NPI assigned
Jul 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003447 PA Primary

Addresses

Primary practice location

56 W Eagle Rd
Havertown, PA 19083-1447

Mailing address

1112 Spruce St Apt 1F
Philadelphia, PA 19107-6015

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address allegra.inciardi@nea.eclinicaldirectplus.com Health Information Exchange (HIE)

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
I20180904000095 PA Practitioner - Optometry 5698025245 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nittany Eye Associates LTDGroup PAC ID 4688740855, 11 clinicians

Practice addresses (Care Compare)

428 Windmere Dr
Suite 100
State College, PA 16801-7644
Phone (814) 234-2015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nittany Eye Associates LTD Optometrist CurrentSince May 6, 2024 Accepting new patients
Negrey Eye Associates Optometrist CurrentSince Aug 1, 2018 Accepting new patients

Locations

56 W Eagle Rd
Havertown, PA 19083
Phone (610) 446-8080

947 Bellefonte Ave
Lock Haven, PA 17745
Phone (570) 748-7751

428 Windmere Dr
Ste 100
State College, PA 16801
Phone (814) 234-2015

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGICCA
  • Direct secure messaging: allegra.inciardi@nea.eclinicaldirectplus.com

Organizations & group practices 2

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": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1013494517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 SPRUCE ST APT 1F",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 W EAGLE RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190831447",
            "telephone_number": "610-446-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INCIARDI",
        "first_name": "ALLEGRA",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-26",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "allegra.inciardi@nea.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Eclinical emr",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "56 W Eagle Rd",
            "city": "Havertown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190831447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

Verify at the official NPI Registry.