Organization Active NPI

Jason D Munitz OD & Scott Rutkoski OD PTR

  • Optometrist
  • Troy, PA
National Provider Identifier
1073525069
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JASON D MUNITZ OD & SCOTT RUTKOSKI OD PTR
Practice address
547 Canton Street
Suite 1
Troy, PA 16947
Phone
(570) 297-2970
Fax
(570) 297-5057
NPI assigned
Aug 11, 2006
Last updated
Jul 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Authorized official

Name
Scott P Rutkoski, O.D.
Title
Partner
Phone
(570) 297-2970

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000806 PA
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

547 Canton Street
Suite 1
Troy, PA 16947

Mailing address

547 Canton Street
Suite 1
Troy, PA 16947
Phone (570) 297-2970

National Provider Directory

National Provider Directory

Locations

295 Buck Rd
Ste 114
Holland, PA 18966
Phone (215) 953-1200

547 Canton St
#1
Troy, PA 16947
Phone (570) 297-2970

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1073525069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 CANTON STREET",
            "address_2": "SUITE 1",
            "city": "TROY",
            "state": "PA",
            "postal_code": "16947",
            "telephone_number": "570-297-2970",
            "fax_number": "570-297-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 CANTON STREET",
            "address_2": "SUITE 1",
            "city": "TROY",
            "state": "PA",
            "postal_code": "16947",
            "telephone_number": "570-297-2970",
            "fax_number": "570-297-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON D MUNITZ OD & SCOTT RUTKOSKI OD PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "RUTKOSKI",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "570-297-2970",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000806",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.