North Pocono Family Eyecare, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG-000799 Issued in PA

Legal business name

NORTH POCONO FAMILY EYECARE, LLC

Practice address

921 Drinker Tpke
Ste 15
Covington TWP, PA 18444-7947

Phone

(570) 842-0331

NPI assigned

Aug 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly Ann Agostinelli, ODNPI 1902835671

Title

Sole Member

Phone

(570) 842-0331

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly A. Agostinelli, OD

  • Optometrist
  • Covington TWP, PA
  • NPI 1902835671
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1104834266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 DRINKER TPKE",
            "address_2": "STE 15",
            "city": "COVINGTON TWP",
            "state": "PA",
            "postal_code": "184447947",
            "telephone_number": "570-842-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 DRINKER TPKE",
            "address_2": "STE 15",
            "city": "COVINGTON TWP",
            "state": "PA",
            "postal_code": "184447947",
            "telephone_number": "570-842-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH POCONO FAMILY EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "AGOSTINELLI",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "570-842-0331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG-000799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly A. Agostinelli, OD
• Raymond J Felins, MD
• Raymond John Felins
• Anna Haroun Mahdavi
• Tammy Lee Rade, LCSW
• Sarah Anne Russick, LAPC
• Tri-Country Ambulance
• Micah John Watts, LAT, ATC

• Optometrist in Covington TWP, PA
• Providers in Covington TWP, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.