Organization Active NPI

Karl E Streilein Optometry, PC

  • Optometrist
  • Corry, PA
National Provider Identifier
1114047206
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001563 Issued in PA
Legal business name
KARL E STREILEIN OPTOMETRY, PC
Practice address
216 N Center St
Corry, PA 16407-1627
Phone
(814) 665-2020
Fax
(814) 664-4382
NPI assigned
Mar 30, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Karl E Streilein, O.D.NPI 1376643999
Title
Optometrist
Phone
(814) 665-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001563 PA Primary

Addresses

Primary practice location

216 N Center St
Corry, PA 16407-1627

Mailing address

216 N Center St
Corry, PA 16407-1627
Phone (814) 665-2020

Other identifiers 6

IdentifierTypeStateIssuer
0011539530006MedicaidPA
PA6532OtherPAEYEMED
PA96532OtherPAVBA
42287OtherPADAVIS VISION
KA1347367OtherPABLUE SHIELD
0011539530005MedicaidPA

National Provider Directory

National Provider Directory

Locations

216 N Center St
Corry, PA 16407
Phone (814) 665-2020

840 Millcreek Mall
Erie, PA 16565
Phone (814) 866-6620

105 N Washington St
Titusville, PA 16354
Phone (814) 827-3543

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1114047206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 N CENTER ST",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071627",
            "telephone_number": "814-665-2020",
            "fax_number": "814-664-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N CENTER ST",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071627",
            "telephone_number": "814-665-2020",
            "fax_number": "814-664-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARL E STREILEIN OPTOMETRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "STREILEIN",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "814-665-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011539530006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "PA6532",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VBA",
            "identifier": "PA96532",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "42287",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "KA1347367",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011539530005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corry, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.