Individual provider Active NPI

Eric Paul Daley, O.D.

  • Optometrist
  • McConnellsburg, PA
National Provider Identifier
1073509865
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000012 Issued in PA
Practice address
7297 Cito Rd
MC Connellsburg, PA 17233-8703
Phone
(717) 485-4133
Fax
(717) 485-4179
NPI assigned
Sep 27, 2005
Last updated
Dec 18, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000012 PA Primary

Addresses

Primary practice location

7297 Cito Rd
MC Connellsburg, PA 17233-8703

Mailing address

PO Box 695
MC Connellsburg, PA 17233-0695
Phone (717) 485-4133

Other identifiers 2

IdentifierTypeStateIssuer
528768OtherPABLUE SHIELD
50042626OtherPACAPITAL BLUE CROSS

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
I20050114000214 PA Practitioner - Optometry 9234188665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7297 Cito Rd
MC Connellsburg, PA 17233-8703

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000012PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Daley Family Eye Care PC Optometrist CurrentSince Dec 10, 2004 Accepting new patients

Locations

7297 Cito Rd
Mc Connellsburg, PA 17233
Phone (717) 485-4133

Organizations & group practices 1

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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197936000000",
    "number": "1073509865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 695",
            "city": "MC CONNELLSBURG",
            "state": "PA",
            "postal_code": "172330695",
            "telephone_number": "717-485-4133",
            "fax_number": "717-485-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7297 CITO RD",
            "city": "MC CONNELLSBURG",
            "state": "PA",
            "postal_code": "172338703",
            "telephone_number": "717-485-4133",
            "fax_number": "717-485-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALEY",
        "first_name": "ERIC",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2007-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "528768",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50042626",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McConnellsburg, PA

Sources for this page

Verify at the official NPI Registry.