Organization Active NPI

Allegany Optical LLC

  • Optometrist
  • Chambersburg, PA
National Provider Identifier
1083894588
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6000003977 Issued in PA
Legal business name
ALLEGANY OPTICAL LLC
Practice address
626 Chambersburg Mall
Chambersburg, PA 17202-8101
Phone
(717) 263-7050
Fax
(717) 263-3277
NPI assigned
Nov 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Dr. James J Whitelock, O.D.
Title
O.D. / Managing Member
Phone
(717) 263-2389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 6000003977 PA Primary

Addresses

Primary practice location

626 Chambersburg Mall
Chambersburg, PA 17202-8101

Mailing address

626 Chambersburg Mall
Chambersburg, PA 17202-8101
Phone (717) 263-7050

Other identifiers 3

IdentifierTypeStateIssuer
1007510100010MedicaidPA
CJ5439OtherPARAILROAD MEDICARE
1007510100006MedicaidPA

Other names 1

  • ALLEGANY OPTICAL Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1083894588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 CHAMBERSBURG MALL",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172028101",
            "telephone_number": "717-263-7050",
            "fax_number": "717-263-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 CHAMBERSBURG MALL",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172028101",
            "telephone_number": "717-263-7050",
            "fax_number": "717-263-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGANY OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "WHITELOCK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "O.D. / MANAGING MEMBER",
        "authorized_official_telephone_number": "717-263-2389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "6000003977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007510100010",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ5439",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007510100006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLEGANY OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chambersburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.