Organization Active NPI

Rebman Eyecare, P.C.

  • Optometrist
  • Elizabethtown, PA
National Provider Identifier
1194818971
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000512 Issued in PA
Legal business name
REBMAN EYECARE, P.C.
Practice address
282 Maytown Rd
Ste 100
Elizabethtown, PA 17022-9313
Phone
(717) 367-7838
Fax
(717) 367-6266
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Authorized official

Name
Dr. Joseph Paul Rebman, O.D.NPI 1558334870
Title
President
Phone
(717) 367-7838

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 OEG000512 PA Primary

Addresses

Primary practice location

282 Maytown Rd
Ste 100
Elizabethtown, PA 17022-9313

Mailing address

282 Maytown Rd
Ste 100
Elizabethtown, PA 17022-9313
Phone (717) 367-7838

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050720000370 PA Part B Supplier - Clinic/Group Practice 7315974573 Receives reassigned benefits from 2 practitioners
Practice locations: Elizabethtown, PA
O20100930053300 PA DME Supplier - Physician - Optometrist 7315974573 1 other NPI on this enrollment
Practice locations: Elizabethtown, PA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
39D2042359Rebman Eyecare, PC282 Maytown Road Suite 100, Elizabethtown, PA 17022Certificate of waiverJun 10, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Rebman Eyecare PC282 Maytown Rd, Elizabethtown, PA 17022-9313(717) 367-7838 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 2001

National Provider Directory

National Provider Directory

Locations

222 S Market St
Ste 105
Elizabethtown, PA 17022
Phone (717) 367-7838

282 Maytown Rd
Ste 100
Elizabethtown, PA 17022
Phone (717) 367-7838

Practitioners & affiliated clinicians

Practitioners 2

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": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1194818971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 MAYTOWN RD",
            "address_2": "STE 100",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170229313",
            "telephone_number": "717-367-7838",
            "fax_number": "717-367-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 MAYTOWN RD",
            "address_2": "STE 100",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170229313",
            "telephone_number": "717-367-7838",
            "fax_number": "717-367-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBMAN EYECARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "REBMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-367-7838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; 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.