Nittany Eye Associates LTD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000709 Issued in PA

Legal business name

NITTANY EYE ASSOCIATES LTD

Practice address

4570 Penns Valley Rd
Spring Mills, PA 16875-8500

Phone

(814) 422-8006

Fax

(814) 422-8561

NPI assigned

Aug 26, 2011

Last updated

May 26, 2026By 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

Dr. Peter Theodorous, O.D.NPI 1407843535

Title

Cfo

Phone

(814) 422-8006

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Nittany Eye Associates LTD

  dba Nittany Eye Associates

  • Optometrist
  • Lock Haven, PA
  • NPI 1083565378

  O20080912000042

  Same enrollment
• Nittany Eye Associates LTD

  • Optometrist
  • Tyrone, PA
  • NPI 1336421965

  O20080912000042

  Same enrollment
• Nittany Eye Associates LTD

  • Optometrist
  • State College, PA
  • NPI 1619071131

  O20080912000042

  Same enrollment
• Nittany Eye Associates LTD

  • Optometrist
  • Port Matilda, PA
  • NPI 1962782565

  O20080912000042

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Nittany Eye Associates LTD5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Nittany Eye Associates LTD

  dba Nittany Eye Associates

  • Optometrist
  • Lock Haven, PA
  • NPI 1083565378
  NPD tax ID
• Nittany Eye Associates LTD

  • Optometrist
  • Tyrone, PA
  • NPI 1336421965
  NPD tax ID
• Nittany Eye Associates LTD

  • Optometrist
  • State College, PA
  • NPI 1619071131
  NPD tax ID
• Nittany Eye Associates LTD

  • Optometrist
  • Port Matilda, PA
  • NPI 1962782565
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Nittany Eye Associates LTD

  • Optometrist
  • State College, PA
  • NPI 1619071131

  Member Of

  NPD member

Locations

Practitioners 1

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.

• Peter G Theodorous, OD

  • Optometrist
  • Spring Mills, PA
  • NPI 1407843535
  Authorized official Same address or phone

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1164702767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4570 PENNS VALLEY RD",
            "city": "SPRING MILLS",
            "state": "PA",
            "postal_code": "168758501",
            "telephone_number": "814-422-8006",
            "fax_number": "814-422-8561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4570 PENNS VALLEY RD",
            "city": "SPRING MILLS",
            "state": "PA",
            "postal_code": "168758500",
            "telephone_number": "814-422-8006",
            "fax_number": "814-422-8561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NITTANY EYE ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-26",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "THEODOROUS",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "814-422-8006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mount Nittany Medical Center
• Mount Nittany Medical Center
• Mount Nittany Medical Center Health Services Inc
• Carol Ann Myers, CRNP
• Salvatore Louis Nicosia Jr.
• Penns Valley Area Medical Center PC
• Penns Valley Area School District
• Penns Valley Dental Associates, P.C.
• Penns Valley Emergency Medical Services
• Melina Pinamonti, MS, CCC-SLP

• Optometrist in Spring Mills, PA
• Providers in Spring Mills, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.