Dormont Vision Center LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000494 Issued in PA

Legal business name

DORMONT VISION CENTER LLC

Practice address

2893 W Liberty Ave
Pittsburgh, PA 15216-2619

Phone

(412) 344-8534

Fax

(412) 344-6962

NPI assigned

May 30, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Rebecca Roberts Douglas, CPDC

Title

Credentialing

Phone

(866) 551-0232

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 5

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

• Paul Melvin Spivak, O.D.

  • Optometrist
  • Pittsburgh, PA
  • NPI 1376649855
  Medicare reassignment Care Compare group NPD
• Danielle Staresinic, OD

  • Optometrist
  • Pittsburgh, PA
  • NPI 1790777498
  Medicare reassignment Care Compare group NPD
• Monica Sanago

  • Optometrist
  • Eatontown, NJ
  • NPI 1164115895

  PA

  Medicare reassignment Care Compare group NPD
• Cara L Hauser, O.D.

  • Optometrist
  • Pittsburgh, PA
  • NPI 1861622649
  NPD (past)
• Mindy A McKee, O.D.

  • Optometrist
  • Pittsburgh, PA
  • NPI 1649320920
  NPD (past)

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1184882797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2893 WEST LIBERTY AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152162619",
            "telephone_number": "412-344-8534",
            "fax_number": "412-344-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2893 W LIBERTY AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152162619",
            "telephone_number": "412-344-8534",
            "fax_number": "412-344-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORMONT VISION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "ROBERTS",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "866-551-0232",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPDC"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominick Dorfeo
• Maya Ale'a Dorfman
• Michele Dorfsman
• Ander Dorken Gallastegi, M.D.
• Dormont Psychological Services LLC
• Dormonts Hometown Pharmacy Inc
• William Raymond Dorn, L.P.C.
• Yan Dorneich
• Pavle Doroslovacki, MD
• Helen Hyde Dorra, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.