Individual provider Active NPI

Randy J. Cakanac, O.D.

  • Optometrist
  • North Huntingdon, PA
National Provider Identifier
1063471555
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000880 Issued in PA
Practice address
8730 Norwin Ave
North Huntingdon, PA 15642-2745
Phone
(724) 864-7777
Fax
(724) 864-7779
NPI assigned
Mar 22, 2006
Last updated
Feb 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000880 PA Primary

Addresses

Primary practice location

8730 Norwin Ave
North Huntingdon, PA 15642-2745

Mailing address

8730 Norwin Ave
North Huntingdon, PA 15642-2745
Phone (724) 864-7777

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
I20110922000429 PA Practitioner - Optometry 8426161449 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Pennsylvania Professional IncGroup PAC ID 7719218593, 80 clinicians

Practice addresses (Care Compare)

3919 William Penn Hwy
Murrysville, PA 15668-1803
Phone (724) 733-7770

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000880PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa M. Nath, M.D. LLC CurrentSince Feb 1, 2012 Accepting new patients
Aeg Pennsylvania Professional Inc Optometrist CurrentSince Jun 25, 2021 Accepting new patients
Aeg Pennsylvania Professional Inc Optometrist PastSince Jul 16, 2023 Accepting new patients
Aeg Pennsylvania Professional, Inc Optometrist Past Accepting new patients

Locations

511 Lincoln Ave
Bellevue, PA 15202
Phone (412) 734-5022

187 Scharberry Ln
Mars, PA 16046
Phone (724) 591-5501

3919 William Penn Hwy
Murrysville, PA 15668
Phone (724) 733-7770

3919 William Penn Hwy
#1
Murrysville, PA 15668
Phone (724) 733-7770

8730 Norwin Ave
North Huntingdon, PA 15642
Phone (412) 864-7777

Organizations & group practices 4

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1063471555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8730 NORWIN AVE",
            "city": "NORTH HUNTINGDON",
            "state": "PA",
            "postal_code": "156422745",
            "telephone_number": "724-864-7777",
            "fax_number": "724-864-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8730 NORWIN AVE",
            "city": "NORTH HUNTINGDON",
            "state": "PA",
            "postal_code": "156422745",
            "telephone_number": "724-864-7777",
            "fax_number": "724-864-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAKANAC",
        "first_name": "RANDY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Huntingdon, PA

Sources for this page

Verify at the official NPI Registry.