Richard Irwin OD

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

OEG000669 Issued in PA

Legal business name

RICHARD IRWIN OD

Practice address

209 W Union St
Somerset, PA 15501-1535

Phone

(814) 445-4789

NPI assigned

Feb 5, 2008

Organization subpart

No

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

Authorized official

Name

Richard Irwin, OD

Title

Owner/Optometrist

Phone

(814) 445-4789

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1053599720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W UNION ST",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155011535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W UNION ST",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155011535",
            "telephone_number": "814-445-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD IRWIN OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "IRWIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "814-445-4789",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "PA",
            "license": "OEG000669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Somerset, PA
• Providers in Somerset, PA by specialty
• Eyewear Supplier in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.