Individual provider Active NPI

Janice Bianchi Frederickson, O.D

  • Optometrist
  • Greensburg, PA
National Provider Identifier
1124023619
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG-000580 Issued in PA
Practice address
2020 Fredrickson PL
Greensburg, PA 15601-9688
Phone
(724) 837-1121
Fax
(724) 837-1270
NPI assigned
Jun 20, 2005
Sex
Female
Sole proprietor
Yes

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 OEG-000580 PA Primary

Addresses

Primary practice location

2020 Fredrickson PL
Greensburg, PA 15601-9688

Mailing address

2020 Fredrickson PL
Greensburg, PA 15601-9688
Phone (724) 837-1121

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
I20080214000438 PA Practitioner - Optometry 3577646496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2020 Frederickson PL
Greensburg, PA 15601-9688
Phone (724) 837-1121

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG-000580PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eye Care West L L C Optometrist CurrentSince Jun 1, 2000 Accepting new patients

Locations

2020 Frederickson Pl
Greensburg, PA 15601
Phone (724) 837-1121

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124023619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 FREDRICKSON PL",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156019688",
            "telephone_number": "724-837-1121",
            "fax_number": "724-837-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 FREDRICKSON PL",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156019688",
            "telephone_number": "724-837-1121",
            "fax_number": "724-837-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICKSON",
        "first_name": "JANICE",
        "middle_name": "BIANCHI",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG-000580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.