Active NPI
Charles Nicholas Tredennick, M.D.
- Ophthalmology Physician
- Butler, PA
National Provider Identifier
1093824112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD027978L
- Practice address
- 1230 East Dr
Butler, PA 16002-3910 - Phone
- (724) 287-4729
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD027978L | PA | Primary |
Addresses
Primary practice location
1230 East Dr
Butler, PA 16002-3910
Mailing address
1230 East Dr
Butler, PA 16002-3910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD027978L | PA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wigton Eye Care Associates, Inc | Past | Accepting new patients | |
| Associates in Ophthalmology LTD | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- West Mifflin, PA
- NPI 1639175045
-
- Optometrist
- Butler, PA
- NPI 1770559866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093824112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 EAST DR",
"city": "BUTLER",
"state": "PA",
"postal_code": "160023910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 EAST DR",
"city": "BUTLER",
"state": "PA",
"postal_code": "160023910",
"telephone_number": "724-287-4729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREDENNICK",
"first_name": "CHARLES",
"middle_name": "NICHOLAS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD027978L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Butler, PA
- Julian C Tolentino, M.D.
- Paul Edward Tomasovic, DMD
- Tony M. Maalouf, M.D.,P.C.
- James Robert Torok, MSW/LSW
- Transformation Counseling Center Inc.
- Tri Rivers Physical Therapy LLC
- Tri Rivers Surgical Associates, Inc.
- Tri Rivers Surgical Associates, Inc. (Butler Bone & Joint Center)
- Tri Rivers Surgical Associates, Inc. (Tri Rivers Physical Medicine & Rehabilitation)
- Tri Rivers Surgical Associates, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.