Your Eyes, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000199 Issued in PA

Legal business name

YOUR EYES, INC

Practice address

1500 W Chestnut St
Washington, PA 15301-5864

Phone

(724) 228-5610

Fax

(724) 222-7565

NPI assigned

Jun 14, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Demott-Camp, ODNPI 1851396170

Title

President

Phone

(724) 564-1811

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• JENNIFER DEMOTT-CAMP, OD Doing business as

Medicare fee-for-service enrollment

Enrolled in PA, WV2 enrollments

Enrollment records 2

Practitioners 1

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

• Jennifer Demott-Camp, OD

  • Optometrist
  • Washington, PA
  • NPI 1851396170

  WV

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1174528491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 JACKIE FRANK RD",
            "city": "SMITHFIELD",
            "state": "PA",
            "postal_code": "154781501",
            "telephone_number": "724-564-1811",
            "fax_number": "724-564-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W CHESTNUT ST",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153015864",
            "telephone_number": "724-228-5610",
            "fax_number": "724-222-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR EYES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "DEMOTT-CAMP",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-564-1811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016023160004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016023160003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016023160006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JENNIFER DEMOTT-CAMP, OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Desiree A Yetter, DO
• Angela Lynn Yocham, MSW, LSW
• Alicia Marie Yokum, DDS
• Young & Special Dental, PC
• Your Child'S Place
• Timothy Gerald Zelenak, M.D.
• Justin A Zenner, D.O.
• Thomas Michael Zieger
• Beth A Zimmerman
• Michael Zinsser, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.