Jessie Jo Landa, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001928 Issued in PA

Practice address

853 Jefferson Ave
Washington, PA 15301-3870

Phone

(724) 225-6050

Fax

(724) 225-0890

NPI assigned

Oct 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessie Jo Elliott Other name

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

Specialty

Optometry

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Ohio Professional PCGroup PAC ID 7618207036, 80 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aeg Ohio Professional PC

  • Optometrist
  • Solon, OH
  • NPI 1154980811

  PA

  Medicare reassignment Care Compare group NPD
• Landa Vision, Inc.

  • Optometrist
  • Erie, PA
  • NPI 1427521665
  NPD Authorized official
• Aeg Ohio Professional PC

  • Optometrist
  • Cincinnati, OH
  • NPI 1932708047
  NPD
• Allison Eye Care LLC

  • Optometrist
  • Butler, PA
  • NPI 1235372525
  NPD (past)
• Erie Eye Clinic, Inc

  • Ophthalmology Physician
  • Erie, PA
  • NPI 1386785210
  NPD (past)

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1063601912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 JEFFERSON AVE",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013870",
            "telephone_number": "724-225-6050",
            "fax_number": "724-225-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 JEFFERSON AVE",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013870",
            "telephone_number": "724-225-6050",
            "fax_number": "724-225-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDA",
        "first_name": "JESSIE",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSIE",
            "last_name": "ELLIOTT",
            "middle_name": "JO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brandy Marie Labella
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• Sean Bernard Labuda, D.C.
• Bari Lager, DO
• Ivan L Lambert, M.A.
• Rachel Langsdorf, PA-C
• Jennifer Renee Larnino, DO
• Robert Francis Lasko III, PHARMD
• Colleen Sue Laughlin, D.O
• Jessica L Lawrence, OTR/L

• Optometrist in Washington, PA
• Providers in Washington, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.