Active NPI
John R Aubrey OD PC
- Optometrist
- Johnstown, PA
National Provider Identifier
1124211230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG001204
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0008490500003 | Medicaid | PA |
Other names 1
- Alleghney Eye Care Associates
National Provider Directory
National Provider DirectoryLocations
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.