Organization Active NPI

Brande-Saad Group-Johnstown

  • Optometrist
  • Johnstown, PA
National Provider Identifier
1184635583
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001472 Issued in PA
Legal business name
BRANDE-SAAD GROUP-JOHNSTOWN
Practice address
132 Market St
Johnstown, PA 15901-1629
Phone
(814) 539-2020
Fax
(814) 536-4189
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Authorized official

Name
Janean S Kulback
Title
President
Phone
(814) 539-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG001472 PA Primary

Addresses

Primary practice location

132 Market St
Johnstown, PA 15901-1629

Mailing address

132 Market St
Johnstown, PA 15901-1629
Phone (814) 539-2020

National Provider Directory

National Provider Directory

Locations

1516 Scalp Ave
Johnstown, PA 15904
Phone (814) 269-1020

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1184635583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 MARKET ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011629",
            "telephone_number": "814-539-2020",
            "fax_number": "814-536-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 MARKET ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011629",
            "telephone_number": "814-539-2020",
            "fax_number": "814-536-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDE-SAAD GROUP-JOHNSTOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "KULBACK",
        "authorized_official_first_name": "JANEAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-539-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.