Averstin Eye Group LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

AVERSTIN EYE GROUP LLC

Practice address

2571 US-6
101
Hawley, PA 18428

Phone

(570) 226-2400

NPI assigned

Jun 7, 2023

Last updated

Jun 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John J Glasner, ODNPI 1487817896

Title

Owner

Phone

(570) 369-3139

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• John Joseph Glasner IV, O.D.

  • Corneal and Contact Management Optometrist
  • Stroudsburg, PA
  • NPI 1487817896
  Authorized official Same address or phone

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1104510569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 MAIN ST",
            "city": "PECKVILLE",
            "state": "PA",
            "postal_code": "184522008",
            "telephone_number": "570-382-3922",
            "fax_number": "570-393-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2571 US-6",
            "address_2": "101",
            "city": "HAWLEY",
            "state": "PA",
            "postal_code": "18428",
            "telephone_number": "570-226-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1421 Main St",
            "address_purpose": "LOCATION",
            "city": "Peckville",
            "state": "PA",
            "postal_code": "184522008",
            "country_code": "US",
            "telephone_number": "570-382-3922",
            "fax_number": "570-393-7585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AVERSTIN EYE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "GLASNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-369-3139",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Hawley, PA
• Providers in Hawley, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.