Individual provider Active NPI

David L Naugle, O.D.

  • Optometrist
  • Hazleton, PA
National Provider Identifier
1033152137
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001613 Issued in PA
Practice address
991 E Chestnut St
Hazleton, PA 18201-6807
Phone
(570) 454-1860
Fax
(570) 454-1898
NPI assigned
Jun 14, 2006
Last updated
May 18, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001613 PA Primary

Addresses

Primary practice location

991 E Chestnut St
Hazleton, PA 18201-6807

Mailing address

2028 Father Angelo Drive
Hazle TWP, PA 18202
Phone (570) 454-1860

Other identifiers 1

IdentifierTypeStateIssuer
0018193500005MedicaidPA

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
I20090427000563 PA Practitioner - Optometry 2365590551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independence CorporationGroup PAC ID 0749351005, 12 clinicians

Practice addresses (Care Compare)

578 Susquehanna Blvd
Hazle Township, PA 18202-3233
Phone (570) 459-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
OEG001613PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Independence Corporation Optometrist CurrentSince Oct 1, 2023 Accepting new patients
Independence Corporation Optometrist CurrentSince Oct 1, 2023 Accepting new patients
Hazleton Eye Center, Inc. Optometrist Past Accepting new patients

Locations

1900 W Front St
Berwick, PA 18603
Phone (570) 759-2325

578 Susquehanna Blvd
Hazle Township, PA 18202
Phone (570) 459-2200

362 Pottsville Saint Clair Hwy
Pottsville, PA 17901
Phone (570) 620-2020

2274 MacArthur Rd
Whitehall, PA 18052
Phone (610) 432-3937

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305676800000",
    "number": "1033152137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 FATHER ANGELO DRIVE",
            "city": "HAZLE TWP",
            "state": "PA",
            "postal_code": "18202",
            "telephone_number": "570-454-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 E CHESTNUT ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016807",
            "telephone_number": "570-454-1860",
            "fax_number": "570-454-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAUGLE",
        "first_name": "DAVID",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2011-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018193500005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

Sources for this page

Verify at the official NPI Registry.