Fatula Family Eyecare

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001789 Issued in PA

Legal business name

FATULA FAMILY EYECARE

Practice address

1102 Million Dollar Hwy
Saint Marys, PA 15857-2728

Phone

(814) 781-1064

Fax

(814) 834-1243

NPI assigned

Mar 30, 2007

Last updated

Aug 22, 2020By 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

Dr. Daniel Remo Fatula, O.D.

Title

Optometrist

Phone

(814) 371-8210

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083734420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 EVERGREEN ST",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011722",
            "telephone_number": "814-371-8210",
            "fax_number": "814-834-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 MILLION DOLLAR HWY",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158572728",
            "telephone_number": "814-781-1064",
            "fax_number": "814-834-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FATULA FAMILY EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FATULA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "REMO",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "814-371-8210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Saint Marys, PA
• Providers in Saint Marys, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.