Individual provider Active NPI

Kelly M Donlan, O.D.

  • Optometrist
  • Sarver, PA
National Provider Identifier
1245275197
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001647 Issued in PA
Practice address
135 Mulone Drive
Sarver, PA 16055
Phone
(724) 540-1771
Fax
(724) 540-1773
NPI assigned
Jun 17, 2006
Last updated
Oct 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001647 PA Primary

Addresses

Primary practice location

135 Mulone Drive
Sarver, PA 16055

Mailing address

135 Mulone Drive
Sarver, PA 16055
Phone (724) 540-1771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060821000019 PA Practitioner - Optometry 7416950035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

135 Mulone Dr
Sarver, PA 16055-8409
Phone (724) 540-1771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sarver Eye Clinic PC Optometrist CurrentSince Jul 27, 2011 Accepting new patients
Eger Eye Group PC Optometrist Past Accepting new patients
Armstrong Eye Care Associates, P.C. Optometrist PastSince Jul 14, 2021 Accepting new patients

Locations

135 Mulone Dr
Sarver, PA 16055
Phone (412) 996-4543

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1245275197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 MULONE DRIVE",
            "city": "SARVER",
            "state": "PA",
            "postal_code": "16055",
            "telephone_number": "724-540-1771",
            "fax_number": "724-540-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 MULONE DRIVE",
            "city": "SARVER",
            "state": "PA",
            "postal_code": "16055",
            "telephone_number": "724-540-1771",
            "fax_number": "724-540-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONLAN",
        "first_name": "KELLY",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarver, PA

Sources for this page

Verify at the official NPI Registry.