Ives Eyecare Center Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001122 Issued in PA

Legal business name

IVES EYECARE CENTER INC

Practice address

145 N Water Street
West Newton, PA 15089

Phone

(724) 872-5621

Fax

(724) 872-6660

NPI assigned

Sep 28, 2005

Last updated

Mar 12, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul Fred Ives, ODNPI 1922090323

Title

President

Phone

(724) 872-5621

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 5

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.

• Paul Fred Ives, OD

  • Optometrist
  • West Newton, PA
  • NPI 1922090323
  Medicare reassignment Care Compare group NPD Authorized official
• Alexa Ives, OD

  • Optometrist
  • Murrysville, PA
  • NPI 1205492998
  Medicare reassignment Care Compare group NPD
• Tessa Lane Ives, OD

  • Optometrist
  • Murrysville, PA
  • NPI 1245906056
  Medicare reassignment Care Compare group NPD
• Danielle Rose Cozza, O.D.

  • Optometrist
  • North Charleroi, PA
  • NPI 1922459981
  Medicare reassignment NPD
• Natalie Jane Noble, O.D.

  • Optometrist
  • Greensburg, PA
  • NPI 1952614877
  NPD (past)

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

{
    "created_epoch": "1127865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268352000000",
    "number": "1073500724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 N WATER STREET",
            "city": "WEST NEWTON",
            "state": "PA",
            "postal_code": "15089",
            "telephone_number": "724-872-5621",
            "fax_number": "724-872-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 N WATER STREET",
            "city": "WEST NEWTON",
            "state": "PA",
            "postal_code": "15089",
            "telephone_number": "724-872-5621",
            "fax_number": "724-872-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVES EYECARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-28",
        "last_updated": "2010-03-12",
        "status": "A",
        "authorized_official_last_name": "IVES",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "FRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-872-5621",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1036189",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001036189",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Excela Health Physician Practices, Inc. (Excela Health Primary Care West Newton)
• Giant Eagle Inc (Giant Eagle Pharmacy 2460)
• Good Day Sunshine Counseling LLC
• Hearing Professionals of America LLC
• Megan Hedglen, LPC
• Paul Fred Ives, OD
• Jade & Rory PLLC
• Jennifer Jo Kostik Johnson, DPT, ATC
• Stephanie Anne Jurcevich, BSN, RN
• Christine Marie Kalinik, LCSW

• Optometrist in West Newton, PA
• Providers in West Newton, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; 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.