Central Penn Vision Associates

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000861 Issued in PA

Legal business name

CENTRAL PENN VISION ASSOCIATES

Practice address

1058 Pennsylvania Ave
Tyrone, PA 16686-1536

Phone

(814) 684-0331

Fax

(814) 684-0331

NPI assigned

May 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie Fozard, O.D.

Title

Doctor

Phone

(814) 684-0331

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043420706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 PENNSYLVANIA AVE",
            "city": "TYRONE",
            "state": "PA",
            "postal_code": "166861536",
            "telephone_number": "814-684-0331",
            "fax_number": "814-684-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 PENNSYLVANIA AVE",
            "city": "TYRONE",
            "state": "PA",
            "postal_code": "166861536",
            "telephone_number": "814-684-0331",
            "fax_number": "814-684-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PENN VISION ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOZARD",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "814-684-0331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Tyrone, PA
• Providers in Tyrone, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.