Individual provider Active NPI

Joseph Andrew Terravecchia, OD

  • Optometrist
  • New Castle, PA
National Provider Identifier
1114088820
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000055 Issued in PA
Practice address
1750 New Butler Rd Ste a
New Castle, PA 16101-3184
Phone
(724) 654-2641
Fax
(724) 654-1558
NPI assigned
Dec 13, 2006
Last updated
Mar 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000055 PA Primary

Addresses

Primary practice location

1750 New Butler Rd Ste a
New Castle, PA 16101-3184

Mailing address

1750 New Butler Rd Ste a
New Castle, PA 16101-3184
Phone (724) 654-2641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090609000024 PA Practitioner - Optometry 2062562374 Reassigns benefits to 1 organization
Practice locations: New Castle, PA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Premier Eyecare of Cranberry Inc.Group PAC ID 4587893193, 2 clinicians

Practice addresses (Care Compare)

6501 Marrs Rd
Cranberry Township, PA 16066-5109
Phone (724) 553-5555

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery64

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Eyecare of Cranberry Inc Optometrist CurrentSince Mar 1, 2014 Accepting new patients
Batchelet Eye, LLC Past Accepting new patients
Robert Prazer, OD Optometrist PastSince Jan 1, 2006 Accepting new patients
Sightline SS LLC PastSince May 29, 2022 Accepting new patients

Locations

6501 Mars Rd
Cranberry Twp, PA 16066
Phone (724) 553-5555

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1114088820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 NEW BUTLER RD STE A",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161013184",
            "telephone_number": "724-654-2641",
            "fax_number": "724-654-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 NEW BUTLER RD STE A",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161013184",
            "telephone_number": "724-654-2641",
            "fax_number": "724-654-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRAVECCHIA",
        "first_name": "JOSEPH",
        "middle_name": "ANDREW",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

Verify at the official NPI Registry.