Organization Active NPI

Advanced Vision Care LLC

  • Optometrist
  • Bethel Park, PA
National Provider Identifier
1215215793
Registry record updated Jun 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000532 Issued in PA
Legal business name
ADVANCED VISION CARE LLC
Practice address
681 McMurray Rd
Bethel Park, PA 15102-1039
Phone
(412) 835-7474
Fax
(412) 835-1740
NPI assigned
Aug 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2013

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

Authorized official

Name
Dr. Lonny W Harrison, O.D.
Title
Owner
Phone
(412) 835-7474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG000532 PA Primary

Addresses

Primary practice location

681 McMurray Rd
Bethel Park, PA 15102-1039

Mailing address

681 McMurray Rd
Bethel Park, PA 15102-1039
Phone (412) 835-7474

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110902000059 PA Part B Supplier - Clinic/Group Practice 6608046420 Receives reassigned benefits from 8 practitioners
Practice locations: Bethel Park, PA
O20111123000395 PA DME Supplier - Physician - Optometrist 6608046420 Practice locations: Bethel Park, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1312156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371168000000",
    "number": "1215215793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 MCMURRAY RD",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021039",
            "telephone_number": "412-835-7474",
            "fax_number": "412-835-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 MCMURRAY RD",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021039",
            "telephone_number": "412-835-7474",
            "fax_number": "412-835-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED VISION CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-01",
        "last_updated": "2013-06-14",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "LONNY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-835-7474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; 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.