Premier Eyecare of Cranberry Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PREMIER EYECARE OF CRANBERRY INC

Practice address

6501 Mars Road
Cranberry Township, PA 16066

Phone

(724) 654-2641

NPI assigned

Oct 3, 2013

Organization subpart

No

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

Authorized official

Name

Joseph Terravecchia, O.D.NPI 1114088820

Title

Owner/Optometrist

Phone

(724) 654-2641

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 4

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

• Joseph Andrew Terravecchia, OD

  • Optometrist
  • New Castle, PA
  • NPI 1114088820
  Medicare reassignment Care Compare group NPD Authorized official
• Elizabeth Anne Tunall, OD

  • Optometrist
  • Cranberry Township, PA
  • NPI 1003540295
  Medicare reassignment Care Compare group NPD
• Devin G Depner, OD

  • Optometrist
  • Aliquippa, PA
  • NPI 1679547335
  Medicare reassignment NPD
• Nancy P Wiggins, OD

  • Optometrist
  • Aliquippa, PA
  • NPI 1821063470
  Medicare reassignment NPD

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1215364351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 MARS ROAD",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "16066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 MARS ROAD",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "16066",
            "telephone_number": "724-654-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER EYECARE OF CRANBERRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "TERRAVECCHIA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "724-654-2641",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Pollick, DMD
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• Daniel Edward Primm, P.T.
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• Dara Pruszenski
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• Optometrist in Cranberry Township, PA
• Providers in Cranberry Township, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.