Your Choice Optical, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG002371 Issued in PA

Legal business name

YOUR CHOICE OPTICAL, INC.

Practice address

1359 Connellsville Rd
Ste 18
Lemont Furnace, PA 15456-1076

Phone

(724) 438-5120

NPI assigned

May 25, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Dustin K Tressler, O.D.NPI 1619281193

Title

Optometrist

Phone

(724) 984-5816

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dustin Kristofer Tressler, O.D.

  • Optometrist
  • Lemont Furnace, PA
  • NPI 1619281193
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1144580994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1359 CONNELLSVILLE RD",
            "address_2": "STE 18",
            "city": "LEMONT FURNACE",
            "state": "PA",
            "postal_code": "154561076",
            "telephone_number": "724-438-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1359 CONNELLSVILLE RD",
            "address_2": "STE 18",
            "city": "LEMONT FURNACE",
            "state": "PA",
            "postal_code": "154561076",
            "telephone_number": "724-438-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR CHOICE OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "TRESSLER",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "724-984-5816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025274890002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce Evans Triplett, D.M.D.
• Sarah Verbanick
• Chelsea Weid
• Wesclare Corporation
• Shanaya Williams

• Optometrist in Lemont Furnace, PA
• Providers in Lemont Furnace, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.