Organization Active NPI

John R Aubrey OD PC

  • Optometrist
  • Johnstown, PA
National Provider Identifier
1124211230
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001204 Issued in PA
Legal business name
JOHN R AUBREY OD PC
Practice address
722 Franklin St
Johnstown, PA 15901-2824
Phone
(814) 535-8697
Fax
(814) 535-8698
NPI assigned
Aug 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Dr. John R Aubrey, OD
Title
Optometrist
Phone
(814) 535-8697

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OEG001204 PA Primary
Durable Medical Equipment & Medical Supplies 332B00000X OEG001204 PA

Addresses

Primary practice location

722 Franklin St
Johnstown, PA 15901-2824

Mailing address

722 Franklin St
Johnstown, PA 15901-2824
Phone (814) 535-8697

Other identifiers 1

IdentifierTypeStateIssuer
0008490500003MedicaidPA

Other names 1

  • Alleghney Eye Care Associates Doing business as

National Provider Directory

National Provider Directory

Locations

722 Franklin St
Johnstown, PA 15901
Phone (814) 535-8697

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1124211230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159012824",
            "telephone_number": "814-535-8697",
            "fax_number": "814-535-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159012824",
            "telephone_number": "814-535-8697",
            "fax_number": "814-535-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R AUBREY OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "AUBREY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "814-535-8697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001204",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "OEG001204",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008490500003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alleghney Eye Care Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.