Krystal Marie Fordoski, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG002236 Issued in PA

Practice address

300 State St Ste 200
Erie, PA 16507-1429

Phone

(814) 453-4575

Fax

(814) 459-3885

NPI assigned

Aug 23, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Housler Family Eye Care IncGroup PAC ID 7911275011, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.59 of 100Reported as group

Quality

95.49

Improvement activities

40

Cost

77.98

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Housler Family Eye Care Inc

  • Optometrist
  • Saint Marys, PA
  • NPI 1629518774
  Medicare reassignment Care Compare group NPD
• Stamm Cataract and Laser Center Inc

  • Ophthalmology Physician
  • Erie, PA
  • NPI 1518180835
  NPD (past)

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

{
    "created_epoch": "1250985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1114159225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STATE ST STE 200",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071429",
            "telephone_number": "814-453-4575",
            "fax_number": "144-593-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STATE ST STE 200",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071429",
            "telephone_number": "814-453-4575",
            "fax_number": "814-459-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORDOSKI",
        "first_name": "KRYSTAL",
        "middle_name": "MARIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-23",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jdcook@drzimm.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "300 State St Ste 200",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165071429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jdcook@drzimm.com",
            "affiliation": "Y",
            "endpointDescription": "practice administrator email",
            "affiliationName": "Edward M. Zimm, P.C.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "300 State St Ste 200",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165071429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathy S Foltz, CRNP
• Elena I Fomchenko, MD, PHD
• Suzanne Marie Fontecchio, CRNP
• Deonte Leroy Ford, LCSW
• Patirica Ford
• Brett R Forehand, MD
• Forest Counseling, LLC
• Paul Foretich
• Jessica C Forge
• Michelle S Forgione

• Optometrist in Erie, PA
• Providers in Erie, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.