Individual provider Active NPI

Monica Rose Theroux, OD

  • Optometrist
  • Uniontown, PA
National Provider Identifier
1023627031
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003718 Issued in PA
Practice address
82 McClellandtown Rd
Uniontown, PA 15401-5522
Phone
(724) 437-1300
NPI assigned
Jul 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 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 OEG003718 PA Primary

Addresses

Primary practice location

82 McClellandtown Rd
Uniontown, PA 15401-5522

Mailing address

82 McClellandtown Rd
Uniontown, PA 15401-5522
Phone (724) 437-1300

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
I20200902003442 PA Practitioner - Optometry 3779900881 Reassigns benefits to 1 organization
Practice locations: Somerset, PA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 Revco Rd
Somerset, PA 15501-7726
Phone (814) 443-6508

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Perspective Eye Care, LLC Optometrist CurrentSince Apr 1, 2024 Accepting new patients

Locations

110 Revco Rd
Somerset, PA 15501
Phone (814) 443-6508

82 McClellandtown Rd
Uniontown, PA 15401
Phone (724) 437-1300

Interoperability endpoints

  • Direct secure messaging: dr.theroux@frec.direct.eyemdemr.com

Organizations & group practices 1

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": "1595721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1023627031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 MCCLELLANDTOWN RD",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154015522",
            "telephone_number": "724-437-1300",
            "fax_number": "724-437-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 MCCLELLANDTOWN RD",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154015522",
            "telephone_number": "724-437-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEROUX",
        "first_name": "MONICA",
        "middle_name": "ROSE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-26",
        "last_updated": "2021-04-02",
        "certification_date": "2021-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

Verify at the official NPI Registry.