Individual provider Active NPI

Charles J. Falsone, O.D.

  • Optometrist
  • Centre Hall, PA
National Provider Identifier
1104908474
Registry record updated May 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000392 Issued in PA
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

Updated by the provider on May 11, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
034188R8MOtherPAGROUP MEMBER PROVIDER NUMBER
1720122732OtherPAGROUP NPI
DD9538OtherPAPTAN

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

LicenseStateTypeSpecialty
OEG000392PAMDCorneal 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.

Verify at the official NPI Registry.