Individual provider Active NPI

Susan Christina Mishock-Clapper, O.D.

  • Optometrist
  • Altoona, PA
National Provider Identifier
1225091861
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001425 Issued in PA
Practice address
926 Logan Valley Mall
Altoona, PA 16602-2832
Phone
(814) 942-3225
NPI assigned
Apr 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001425 PA Primary

Addresses

Primary practice location

926 Logan Valley Mall
Altoona, PA 16602-2832

Mailing address

635 Waldo St
Gallitzin, PA 16641-2106
Phone (814) 884-2967

Other identifiers 4

IdentifierTypeStateIssuer
7386237MedicaidPA
MI964347OtherPABLUE CROSS BLUE SHEILD
PA8077OtherPAEYEMED VISION CARE
DA50984OtherPADAVIS VISION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG001425PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
SMC Vision Care, LLC Optometrist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1225091861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 WALDO ST",
            "city": "GALLITZIN",
            "state": "PA",
            "postal_code": "166412106",
            "telephone_number": "814-884-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 LOGAN VALLEY MALL",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166022832",
            "telephone_number": "814-942-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHOCK-CLAPPER",
        "first_name": "SUSAN",
        "middle_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7386237",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "MI964347",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION CARE",
            "identifier": "PA8077",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "DA50984",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.