Active NPI
David L Naugle, O.D.
- Optometrist
- Hazleton, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG001613
- 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, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018193500005 | Medicaid | PA |
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
Enrollment records 1
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
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG001613 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independence Corporation | Optometrist | Current | Accepting new patients |
| Independence Corporation | Optometrist | Current | 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.
-
- Optometrist
- Hazle Township, PA
- NPI 1578502431
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.