Steven Raymond Demko, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000760 Issued in PA

Practice address

2 Fork St
Suite 102
Mount Pocono, PA 18344-1202

Phone

(570) 839-2221

Fax

(570) 839-2576

NPI assigned

Jun 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1114968948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 UPPER SWIFTWATER RD",
            "address_2": "UNIT 212",
            "city": "SWIFTWATER",
            "state": "PA",
            "postal_code": "183705007",
            "telephone_number": "570-839-2221",
            "fax_number": "570-839-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 FORK ST",
            "address_2": "SUITE 102",
            "city": "MOUNT POCONO",
            "state": "PA",
            "postal_code": "183441202",
            "telephone_number": "570-839-2221",
            "fax_number": "570-839-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMKO",
        "first_name": "STEVEN",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Mount Pocono, PA
• Providers in Mount Pocono, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.