Family Eye Health Center P C

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

FAMILY EYE HEALTH CENTER P C

Practice address

20 Main St
Bradford, PA 16701-2004

Phone

(814) 368-7090

Fax

(814) 368-5855

NPI assigned

Dec 12, 2006

Last updated

Jun 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Vera J Kohler

Title

Office Manager

Phone

(814) 368-7090

Specialties & licenses 2

Addresses

Other identifiers 15

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kara I Gibbs, O.D.

  • Optometrist
  • Bradford, PA
  • NPI 1083605745
  Medicare reassignment Care Compare group NPD
• Tyler Mautino, O.D.

  • Optometrist
  • Warren, PA
  • NPI 1679944177
  Medicare reassignment Care Compare group NPD
• Dan Casamento, O.D.

  • Optometrist
  • Bradford, PA
  • NPI 1720027873
  Medicare reassignment NPD
• Delia Landy, O.D.

  • Optometrist
  • Bradford, PA
  • NPI 1003129123
  Medicare reassignment NPD
• Robert John Lloyd, OD

  • Optometrist
  • Troy, MI
  • NPI 1942305818
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1144380601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MAIN ST",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167012004",
            "telephone_number": "814-368-7090",
            "fax_number": "814-368-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MAIN ST",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167012004",
            "telephone_number": "814-368-7090",
            "fax_number": "814-368-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYE HEALTH CENTER P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "KOHLER",
        "authorized_official_first_name": "VERA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "814-368-7090",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPA",
            "identifier": "0005752970001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "410018195",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE BLUE WEST",
            "identifier": "000131398",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED BLUE PPO WEST",
            "identifier": "000131398",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005752970001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "15156",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "212025",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVA",
            "identifier": "390850",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "073044001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP",
            "identifier": "3687090",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECPA",
            "identifier": "3740",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VBA",
            "identifier": "7043",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS",
            "identifier": "000131398",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARD",
            "identifier": "000131398",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "53929",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erie Vamc
• Evergreen Elm, Inc.
• Evergreen Elm, Inc.
• Exigence of Bradford LLC
• Yahya Fadl, MD
• Family Wellness Chiropractic Inc.
• Marcia K Fargo, RN
• Deanann Farris, D.O.
• Virginia G Fass
• Dennis Lee Faucher, DDS

• Optometrist in Bradford, PA
• Providers in Bradford, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.