Individual provider Active NPI

Stuart J Neft, O.D.

  • Optometrist
  • Somerset, PA
National Provider Identifier
1124017421
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OET008955 Issued in PA
Practice address
110 Revco Rd
Somerset, PA 15501-7726
Phone
(814) 443-6508
Fax
(814) 443-0590
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OET008955 PA Primary

Addresses

Primary practice location

110 Revco Rd
Somerset, PA 15501-7726

Mailing address

110 Revco Rd
Somerset, PA 15501-7726
Phone (814) 443-6508

Other identifiers 1

IdentifierTypeStateIssuer
0012178900001MedicaidPA

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
I20050303000300 PA Practitioner - Optometry 9931153822 Practice locations: Pittsburgh, PA; New Castle, PA; Tarentum, PA; Somerset, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OET008955PAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124017421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 REVCO RD",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155017726",
            "telephone_number": "814-443-6508",
            "fax_number": "814-443-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 REVCO RD",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155017726",
            "telephone_number": "814-443-6508",
            "fax_number": "814-443-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEFT",
        "first_name": "STUART",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OET008955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012178900001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, PA

Sources for this page

Verify at the official NPI Registry.