Individual provider Active NPI

Erika Elizabeth Mabus Carper, O.D.

  • Optometrist
  • Muncy, PA
National Provider Identifier
1043650401
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002826 Issued in PA
Practice address
2214 Route 405 Hwy
Muncy, PA 17756-6530
Phone
(570) 546-6129
Fax
(570) 546-7689
NPI assigned
Jul 1, 2013
Last updated
Jun 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002826 PA Primary

Addresses

Primary practice location

2214 Route 405 Hwy
Muncy, PA 17756-6530

Mailing address

25 Monument Rd
#297
York, PA 17403-5060
Phone (717) 741-6732

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
I20130910000519 PA Practitioner - Optometry 5193969343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erika E Mabus OD PCGroup PAC ID 8325385537, 2 clinicians

Practice addresses (Care Compare)

2214 Route 405 Hwy
Muncy, PA 17756-6530
Phone (570) 546-6129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Erika E Mabus OD PC Optometrist CurrentSince Nov 26, 2018 Accepting new patients
David F. Fetterman, O.D.P.C. Optometrist Past Accepting new patients

Locations

2214 Route 405 Hwy
Muncy, PA 17756
Phone (570) 546-6129

Organizations & group practices 2

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": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1043650401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MONUMENT RD",
            "address_2": "#297",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174035060",
            "telephone_number": "717-741-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 ROUTE 405 HWY",
            "city": "MUNCY",
            "state": "PA",
            "postal_code": "177566530",
            "telephone_number": "570-546-6129",
            "fax_number": "570-546-7689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABUS CARPER",
        "first_name": "ERIKA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-01",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncy, PA

Sources for this page

Verify at the official NPI Registry.