Active NPI
Charles J. Falsone, O.D.
- Optometrist
- Centre Hall, PA
National Provider Identifier
1104908474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000392
- Practice address
- 2790 Earlystown Rd
Suite a
Centre Hall, PA 16828-9149 - Phone
- (814) 364-1812
- Fax
- (814) 364-1813
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG000392 | PA | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | OEG000392 | PA |
Addresses
Primary practice location
2790 Earlystown Rd
Suite a
Centre Hall, PA 16828-9149
Mailing address
1011 Kathryn St
Boalsburg, PA 16827-1646
Phone (814) 466-9093
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 034188R8M | Other | PA | GROUP MEMBER PROVIDER NUMBER |
| 1720122732 | Other | PA | GROUP NPI |
| DD9538 | Other | PA | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG000392 | PA | MD | Corneal and Contact Management Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242000000000",
"number": "1104908474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 KATHRYN ST",
"city": "BOALSBURG",
"state": "PA",
"postal_code": "168271646",
"telephone_number": "814-466-9093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2790 EARLYSTOWN RD",
"address_2": "SUITE A",
"city": "CENTRE HALL",
"state": "PA",
"postal_code": "168289149",
"telephone_number": "814-364-1812",
"fax_number": "814-364-1813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALSONE",
"first_name": "CHARLES",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2009-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG000392",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "PA",
"license": "OEG000392",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEMBER PROVIDER NUMBER",
"identifier": "034188R8M",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1720122732",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "DD9538",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Centre Hall, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.