Individual provider Active NPI

Joanne Adolfo, O.D.

  • Optometrist
  • Butler, PA
National Provider Identifier
1104133271
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002417 Issued in PA
Practice address
540 Butler Xing
Butler, PA 16001-2427
Phone
(724) 282-3902
Fax
(724) 282-7835
NPI assigned
Sep 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002417 PA Primary

Addresses

Primary practice location

540 Butler Xing
Butler, PA 16001-2427

Mailing address

540 Butler Xing
Butler, PA 16001-2427
Phone (724) 282-3902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101230000981 PA Practitioner - Optometry 7618165994 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Pennsylvania Professional IncGroup PAC ID 7719218593, 80 clinicians

Practice addresses (Care Compare)

10644 Perry Hwy
Wexford, PA 15090-9245
Phone (724) 940-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Pennsylvania Professional, Inc Optometrist CurrentSince Dec 1, 2018 Accepting new patients
Aeg Pennsylvania Professional Inc Optometrist CurrentSince Dec 1, 2023 Accepting new patients
Aeg Pennsylvania Professional, Inc Optometrist CurrentSince Dec 1, 2018 Accepting new patients
Aeg Pennsylvania Professional, Inc Optometrist Past Accepting new patients

Locations

187 Scharberry Ln
Mars, PA 16046
Phone (724) 591-5501

10644 Perry Hwy
Wexford, PA 15090
Phone (724) 940-5300

4835 Lyndon B Johnson Fwy
Ste 850
Dallas, TX 75244

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290124800000",
    "number": "1104133271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 BUTLER XING",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012427",
            "telephone_number": "724-282-3902",
            "fax_number": "724-282-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 BUTLER XING",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012427",
            "telephone_number": "724-282-3902",
            "fax_number": "724-282-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADOLFO",
        "first_name": "JOANNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.