NPIMap

Organization Active NPI

Laurel Eye Clinic

  • Durable Medical Equipment & Medical Supplies
  • Mercer, PA
National Provider Identifier
1104405554
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LAUREL EYE CLINIC
Practice address
556 S Erie St
Mercer, PA 16137-3507
Phone
(724) 662-4313
Fax
(724) 662-0186
NPI assigned
Apr 5, 2021
Last updated
Apr 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Authorized official

Name
Lisa Shaw
Title
Administrator
Phone
(814) 849-8344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

556 S Erie St
Mercer, PA 16137-3507

Mailing address

50 Waterford Pike
Brookville, PA 15825-2518
Phone (814) 849-8344

National Provider Directory

National Provider Directory

Locations

332 W Plank Rd
Altoona, PA 16602
Phone (814) 941-5353

3759 Business 220
Ste 10
Bedford, PA 15522
Phone (814) 623-0088

131 E Mahoning St
Punxsutawney, PA 15767
Phone (814) 938-6892

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1104405554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 WATERFORD PIKE",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158252518",
            "telephone_number": "814-849-8344",
            "fax_number": "814-849-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 S ERIE ST",
            "city": "MERCER",
            "state": "PA",
            "postal_code": "161373507",
            "telephone_number": "724-662-4313",
            "fax_number": "724-662-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "814-849-8344"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercer, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.