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

Last updated

Dec 4, 2019By the provider in NPPES

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

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.

• Professional Eye Associates

  dba Visionnaires

  • Optometrist
  • Easton, PA
  • NPI 1548546195
  Authorized official Same address or phone

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": []
}

• Century Dental MP
• Tara Briane Churilla, DO
• Cpmoptometry LLC
• Kenneth Michael Czar, RPH
• Cassandra Daniels
• William J Dempsey II, D.M.D.
• Luann Domenico, R.PH.
• Eckerd Corporation (Rite Aid Pharmacy 11062)
• Halime El-Hajmoussa, M.D.
• Lauren Englert

• 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.