NPIMap

Organization Active NPI

Robert Prazer, OD

  • Optometrist
  • Wexford, PA
National Provider Identifier
1043489461
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001183 Issued in PA
Legal business name
ROBERT PRAZER, OD
Practice address
110 Vip Dr
Wexford, PA 15090-6923
Phone
(724) 935-9999
NPI assigned
Feb 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Authorized official

Name
Dr. Robert Prazer, OD
Title
Owner
Phone
(724) 935-9999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OEG001183 PA Primary

Addresses

Primary practice location

110 Vip Dr
Wexford, PA 15090-6923

Mailing address

110 Vip Dr
Wexford, PA 15090-6923

Other names 1

  • Pediatric & Adult Vision Care Doing business as

National Provider Directory

National Provider Directory

Locations

110 Vip Dr
Wexford, PA 15090
Phone (724) 935-9999

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1043489461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 VIP DR",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150906923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 VIP DR",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150906923",
            "telephone_number": "724-935-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT PRAZER, OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "PRAZER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-935-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric & Adult Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.