NPIMap

Organization Active NPI

Advanced Eyecare Solutions LLC

Doing business as Martinelli Eye and Laser Center

  • Optometrist
  • Charleroi, PA
National Provider Identifier
1144557174
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001792 Issued in PA
Legal business name
ADVANCED EYECARE SOLUTIONS LLC
Doing business as
Martinelli Eye and Laser Center
Practice address
303 1St St
Charleroi, PA 15022-1427
Phone
(724) 483-3675
Fax
(724) 483-0404
NPI assigned
Nov 12, 2009
Last updated
Dec 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Authorized official

Name
Dr. John Jerome Martinelli, ODNPI 1932180965
Title
Ceo
Phone
(724) 483-3675

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001792 PA Primary

Addresses

Primary practice location

303 1St St
Charleroi, PA 15022-1427

Mailing address

303 1St St
Charleroi, PA 15022-1427
Phone (724) 483-3675

Other identifiers 2

IdentifierTypeStateIssuer
DQ6103OtherPAMEDICARE RAILROAD
00136142MedicaidPA

Other names 1

  • Martinelli Eye and Laser Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100824000274 PA Part B Supplier - Clinic/Group Practice 5395869614 Receives reassigned benefits from 8 practitioners
Practice locations: Charleroi, PA; Uniontown, PA
O20101201001397 PA DME Supplier - Physician - Optometrist 5395869614 Practice locations: Uniontown, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1144557174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 1ST ST",
            "city": "CHARLEROI",
            "state": "PA",
            "postal_code": "150221427",
            "telephone_number": "724-483-3675",
            "fax_number": "724-483-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 1ST ST",
            "city": "CHARLEROI",
            "state": "PA",
            "postal_code": "150221427",
            "telephone_number": "724-483-3675",
            "fax_number": "724-483-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED EYECARE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "MARTINELLI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "724-483-3675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DQ6103",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00136142",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martinelli Eye and Laser Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleroi, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.