Individual provider Active NPI

Aleena Jose, OD

  • Optometrist
  • State College, PA
National Provider Identifier
1023851268
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
004290 Issued in PA
Practice address
428 Windmere Dr Ste 100
State College, PA 16801-7644
Phone
(814) 234-2015
NPI assigned
Jun 17, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 004290 PA Primary
Optometrist 152W00000X 11088 TX

Addresses

Primary practice location

428 Windmere Dr Ste 100
State College, PA 16801-7644

Mailing address

428 Windmere Dr Ste 100
State College, PA 16801-7644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240726000904 TX Practitioner - Optometry 6305382318 Reassigns benefits to 1 organization
I20250813000472 PA Practitioner - Optometry 6305382318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
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 surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004290PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of the Incarnate Word CurrentSince Jul 1, 2024 Accepting new patients
University of the Incarnate Word Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Nittany Eye Associates LTD Optometrist CurrentSince Sep 8, 2025 Accepting new patients

Locations

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

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

9725 Datapoint Dr
San Antonio, TX 78229
Phone (210) 283-6800

9725 Datapoint Dr
#69
San Antonio, TX 78229
Phone (210) 283-6800

Organizations & group practices 3

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": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1023851268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 WINDMERE DR STE 100",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 WINDMERE DR STE 100",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017644",
            "telephone_number": "814-234-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSE",
        "first_name": "ALEENA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "004290",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11088",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.