NPIMap

Organization Active NPI

Bartolotta Vision Care, LLC

  • Optometrist
  • Ebensburg, PA
National Provider Identifier
1093952210
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001205 Issued in PA
Legal business name
BARTOLOTTA VISION CARE, LLC
Practice address
3133 New Germany Rd
Suite 61
Ebensburg, PA 15931-4348
Phone
(814) 472-8010
Fax
(814) 472-8293
NPI assigned
Jan 9, 2009
Last updated
Jan 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2009

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

Authorized official

Name
Dr. Joan Bartolotta, O.D.NPI 1407909823
Title
Owner
Phone
(814) 472-8010

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
Optometrist 152W00000X OEG001205 PA Primary

Addresses

Primary practice location

3133 New Germany Rd
Suite 61
Ebensburg, PA 15931-4348

Mailing address

3133 New Germany Rd
Suite 61
Ebensburg, PA 15931-4348
Phone (814) 472-8010

Other identifiers 2

IdentifierTypeStateIssuer
0015672620003MedicaidPA
1417091612OtherPABLUE CROSS

National Provider Directory

National Provider Directory

Locations

3133 New Germany Rd
Ste 61
Ebensburg, PA 15931
Phone (814) 472-8010

Practitioners & affiliated clinicians

Practitioners 3

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": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1093952210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 NEW GERMANY RD",
            "address_2": "SUITE 61",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314348",
            "telephone_number": "814-472-8010",
            "fax_number": "814-472-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3133 NEW GERMANY RD",
            "address_2": "SUITE 61",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314348",
            "telephone_number": "814-472-8010",
            "fax_number": "814-472-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARTOLOTTA VISION CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "BARTOLOTTA",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-472-8010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015672620003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1417091612",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ebensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; 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.