Keystone Blind Association

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

KEYSTONE BLIND ASSOCIATION

Doing business as

Mercer County Blind Association

Practice address

1230 Stambaugh Ave
Sharon, PA 16146-2826

Phone

(724) 347-5501

Fax

(724) 347-2204

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Jonathan Fister

Title

President Ceo

Phone

(724) 347-5501

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mercer County Blind Association Doing business as

Locations

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194845339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 STAMBAUGH AVE",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161462826",
            "telephone_number": "724-347-5501",
            "fax_number": "724-347-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 STAMBAUGH AVE",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161462826",
            "telephone_number": "724-347-5501",
            "fax_number": "724-347-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE BLIND ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FISTER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "724-347-5501"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009752340001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercer County Blind Association",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eyewear Supplier in Sharon, PA
• Providers in Sharon, PA by specialty
• Eyewear Supplier in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.