Organization Active NPI

Dittman Eyecare, Inc.

  • Optometrist
  • Butler, PA
National Provider Identifier
1073653564
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000002 Issued in PA
Legal business name
DITTMAN EYECARE, INC.
Practice address
156 N Main St
Butler, PA 16001-4927
Phone
(724) 287-5739
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Authorized official

Name
Dr. Michael J DittmanNPI 1033176698
Title
Doctor
Phone
(724) 287-5739

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG000002 PA Primary

Addresses

Primary practice location

156 N Main St
Butler, PA 16001-4927

Mailing address

156 N Main St
Butler, PA 16001-4927
Phone (724) 287-5739

Other identifiers 5

IdentifierTypeStateIssuer
9176313OtherPADORAL
P00121665OtherGAPALMETTO GBA- RAILROAD MEDICARE
000000485BOtherPAUPMC
001815491OtherPABLUE CROSS BLUE SHIELD
50093OtherPADAVIS

National Provider Directory

National Provider Directory

Locations

156 N Main St
Butler, PA 16001
Phone (724) 287-5739

20808 Route 19
Ste B
Cranberry Township, PA 16066
Phone (724) 772-7060

Practitioners & affiliated clinicians

Practitioners 5

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": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1073653564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 N MAIN ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014927",
            "telephone_number": "724-287-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 N MAIN ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014927",
            "telephone_number": "724-287-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DITTMAN EYECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "DITTMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "724-287-5739",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "9176313",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA- RAILROAD MEDICARE",
            "identifier": "P00121665",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "000000485B",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001815491",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS",
            "identifier": "50093",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.