Organization Active NPI

Pediatric Ophthalmology and Adult Strabismus of Fredericksburg, P.C.

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Fredericksburg, VA
National Provider Identifier
1073367124
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
Legal business name
PEDIATRIC OPHTHALMOLOGY AND ADULT STRABISMUS OF FREDERICKSBURG, P.C.
Practice address
150 Riverside Pkwy Ste 103
Fredericksburg, VA 22406-1094
Phone
(412) 855-4319
NPI assigned
Apr 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Authorized official

Name
Dr. Joseph Carmine Paviglianiti, MDNPI 1205809597
Title
President / Physician
Phone
(412) 855-4319

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
Pediatric Ophthalmology and Strabismus Specialist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0110X Primary

Addresses

Primary practice location

150 Riverside Pkwy Ste 103
Fredericksburg, VA 22406-1094

Mailing address

205 Springhouse LN
Pittsburgh, PA 15238-2512
Phone (412) 855-4319

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240516002977 VA Part B Supplier - Clinic/Group Practice 7416398730 Receives reassigned benefits from 1 practitioner
Practice locations: Fredericksburg, VA

National Provider Directory

National Provider Directory

Locations

150 Riverside Pkwy
Ste 103
Fredericksburg, VA 22406
Phone (412) 855-4319

2201 Charles St
Ste 103
Fredericksburg, VA 22401
Phone (412) 855-4319

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1073367124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SPRINGHOUSE LN",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152382512",
            "telephone_number": "412-855-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 RIVERSIDE PKWY STE 103",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224061094",
            "telephone_number": "412-855-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC OPHTHALMOLOGY AND ADULT STRABISMUS OF FREDERICKSBURG, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "PAVIGLIANITI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "CARMINE",
        "authorized_official_title_or_position": "PRESIDENT / PHYSICIAN",
        "authorized_official_telephone_number": "412-855-4319",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0110X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.