Organization Active NPI

Pittsbugh Eye Care Associates

Doing business as Vision Source South Hills

  • Optometrist
  • Bridgeville, PA
National Provider Identifier
1053533877
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PITTSBUGH EYE CARE ASSOCIATES
Doing business as
Vision Source South Hills
Practice address
457 Washington Ave
Bridgeville, PA 15017-2370
Phone
(412) 221-0112
Fax
(412) 221-5777
NPI assigned
May 2, 2007
Last updated
Aug 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Authorized official

Name
Dr. Joann B Strain, ODNPI 1982741880
Title
President
Phone
(412) 221-0112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

457 Washington Ave
Bridgeville, PA 15017-2370

Mailing address

457 Washington Ave
Bridgeville, PA 15017-2370
Phone (412) 221-0112

Other identifiers 7

IdentifierTypeStateIssuer
0242120002OtherPADMERC
144907OtherPAHIGHMARK
317528OtherPAUPMC
90042OtherPACLARITY VISION
ST144907OtherPAOLD NUMBER
144907E7KOtherPAMEDICARE
410029895OtherPARAILROAD MEDICARE

Other names 1

  • Vision Source South Hills Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050420000100 PA Part B Supplier - Clinic/Group Practice 0648218750 Receives reassigned benefits from 4 practitioners
Practice locations: Bridgeville, PA

National Provider Directory

National Provider Directory

Locations

457 Washington Ave
Ste A
Bridgeville, PA 15017
Phone (412) 221-0112

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1053533877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 WASHINGTON AVE",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150172370",
            "telephone_number": "412-221-0112",
            "fax_number": "412-221-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 WASHINGTON AVE",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150172370",
            "telephone_number": "412-221-0112",
            "fax_number": "412-221-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITTSBUGH EYE CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "STRAIN",
        "authorized_official_first_name": "JOANN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-221-0112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0242120002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "144907",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "317528",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLARITY VISION",
            "identifier": "90042",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OLD NUMBER",
            "identifier": "ST144907",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "144907E7K",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410029895",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Source South Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.