Active NPI
Susan Christina Mishock-Clapper, O.D.
- Optometrist
- Altoona, PA
National Provider Identifier
1225091861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG001425
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7386237 | Medicaid | PA | |
| MI964347 | Other | PA | BLUE CROSS BLUE SHEILD |
| PA8077 | Other | PA | EYEMED VISION CARE |
| DA50984 | Other | PA | DAVIS 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
| License | State | Type | Specialty |
|---|---|---|---|
| OEG001425 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Optometrist
- Altoona, PA
- NPI 1710308143
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.