Organization Active NPI

Mountain View Eye Associates Inc

  • Optometrist
  • Altoona, PA
National Provider Identifier
1184600470
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MOUNTAIN VIEW EYE ASSOCIATES INC
Practice address
1418 11TH Avenue
Altoona, PA 16601
Phone
(814) 946-3937
Fax
(814) 944-8265
NPI assigned
Dec 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Authorized official

Name
Michael A Satryan, ODNPI 1265490593
Title
Secretary
Phone
(814) 846-3937

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X PA Primary

Addresses

Primary practice location

1418 11TH Avenue
Altoona, PA 16601

Mailing address

1418 11TH Avenue
Altoona, PA 16601
Phone (814) 946-3937

Other identifiers 1

IdentifierTypeStateIssuer
0016840900001MedicaidPA

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040811000893 PA Part B Supplier - Clinic/Group Practice 4385616143 Receives reassigned benefits from 5 practitioners
Practice locations: Altoona, PA
O20100930024294 PA DME Supplier - Physician - Optometrist 4385616143 Practice locations: Altoona, PA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2069346Mountain View Eye1418 11TH Ave, Altoona, PA 16601Certificate of waiverJul 25, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Mountain View Eye Associates Inc1418 11TH Avenue, Altoona, PA 16601-3304(814) 946-3937 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

1418 11th Ave
Altoona, PA 16601
Phone (724) 543-2146

625 Front St
Cresson, PA 16630
Phone (814) 886-3937

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1184600470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 11TH AVENUE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "16601",
            "telephone_number": "814-946-3937",
            "fax_number": "814-944-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 11TH AVENUE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "16601",
            "telephone_number": "814-946-3937",
            "fax_number": "814-944-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW EYE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-19",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "SATRYAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "814-846-3937",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016840900001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.