Tricia Louise Korenkiewicz, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000318 Issued in PA

Practice address

1067 W Baltimore Pke
Sears Optical
Media, PA 19063-5121

Phone

(610) 565-3416

Fax

(610) 566-6815

NPI assigned

Jul 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Miss Tricia Louise Funt Other name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Casseys Optical Inc

  • Customized Equipment (DME)
  • Springfield, PA
  • NPI 1427483742
  NPD (past)
• Craig a. Cassey O D P C

  • Optometrist
  • Brookhaven, PA
  • NPI 1598712127
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1174545925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 CRYSTLE ROAD",
            "city": "ASTON",
            "state": "PA",
            "postal_code": "190142930",
            "telephone_number": "610-494-6944",
            "fax_number": "610-566-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1067 W BALTIMORE PKE",
            "address_2": "SEARS OPTICAL",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635121",
            "telephone_number": "610-565-3416",
            "fax_number": "610-566-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORENKIEWICZ",
        "first_name": "TRICIA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "000434794",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0970463",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "PA8087",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL VISION ADMINISTR",
            "identifier": "397177",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0316692000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRICIA",
            "last_name": "FUNT",
            "middle_name": "LOUISE",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Vsevolod Kohutiak, MD
• Koinonia Counseling
• Gina Kokoska, MA, CCC-SLP
• Kristen Konieczny
• Amanda Koniewicz, PSY.D, LPC
• William Noah Kornberg, D.O.
• Lauren Marie Kossler, M.ED
• John A Kotyo, MD
• Anastassios Koussis, DDS
• Heidi Kozic, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.