Individual provider Active NPI

Tessa Lane Ives, OD

  • Optometrist
  • Murrysville, PA
National Provider Identifier
1245906056
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003823 Issued in PA
Practice address
4465 Old William Penn Hwy
Murrysville, PA 15668-1923
Phone
(724) 733-1918
NPI assigned
Aug 20, 2021
Last updated
Aug 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003823 PA Primary

Addresses

Primary practice location

4465 Old William Penn Hwy
Murrysville, PA 15668-1923

Mailing address

473 Hemlock Rd
Trafford, PA 15085-2828
Phone (412) 849-4370

Other practice location 1

6518 US-22 #456
Delmont, PA 15626
Phone (724) 468-8877

Other practice location 2

145 N Water St
West Newton, PA 15089-1500
Phone (724) 872-5621

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
I20220414000931 PA Practitioner - Optometry 8921494220 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ives Eyecare Center IncGroup PAC ID 7012980592, 3 clinicians

Practice addresses (Care Compare)

145 N Water St
West Newton, PA 15089-1500
Phone (724) 872-5621

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003823PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ives Eyecare Center Inc Optometrist CurrentSince Jul 11, 2022 Accepting new patients
Sto-Rox Neighborhood Health Council, Inc. CurrentSince Dec 6, 2022 Accepting new patients
Sto-Rox Neighborhood Health Council, Inc. Current Accepting new patients
Icare Optometry of Pennsylvania PC Optometrist CurrentSince Mar 11, 2022 Accepting new patients
Insight Eye Consultants to Nursing Facilities Inc Optometrist CurrentSince Aug 2, 2022 Accepting new patients
Aeg Pennsylvania Professional Inc Optometrist CurrentSince Apr 26, 2024 Accepting new patients
Ives Eyecare Center Optometrist PastSince Aug 28, 2021 Accepting new patients

Locations

506 Athena Dr
Delmont, PA 15626

93 W Devon Dr
Ste 101
Exton, PA 19341
Phone (610) 363-8960

1205 S 28th St
Harrisburg, PA 17111
Phone (717) 558-1000

187 Scharberry Ln
Mars, PA 16046
Phone (724) 591-5501

710 Thompson Ave
Mc Kees Rocks, PA 15136
Phone (412) 771-6462

4156 William Penn Hwy
Monroeville, PA 15146
Phone (412) 372-8188

4465 Old William Penn Hwy
Murrysville, PA 15668
Phone (724) 733-1918

8410 Roosevelt Blvd
Philadelphia, PA 19152
Phone (215) 708-1200

151 Ruth St
Pittsburgh, PA 15211
Phone (412) 341-3520

1000 Schuylkill Manor Rd
Pottsville, PA 17901
Phone (570) 622-9666

145 N Water St
West Newton, PA 15089
Phone (724) 872-5621

440 N River St
Wilkes Barre, PA 18702
Phone (267) 635-7089

Organizations & group practices 7

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": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1245906056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 HEMLOCK RD",
            "city": "TRAFFORD",
            "state": "PA",
            "postal_code": "150852828",
            "telephone_number": "412-849-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4465 OLD WILLIAM PENN HWY",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156681923",
            "telephone_number": "724-733-1918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6518 US-22 #456",
            "address_purpose": "LOCATION",
            "city": "Delmont",
            "state": "PA",
            "postal_code": "15626",
            "country_code": "US",
            "telephone_number": "724-468-8877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 N Water St",
            "address_purpose": "LOCATION",
            "city": "West Newton",
            "state": "PA",
            "postal_code": "150891500",
            "country_code": "US",
            "telephone_number": "724-872-5621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IVES",
        "first_name": "TESSA",
        "middle_name": "LANE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrysville, PA

Sources for this page

Verify at the official NPI Registry.