Individual provider Active NPI

Nicholas Tesla, OD

  • Optometrist
  • Pittsburgh, PA
National Provider Identifier
1265522148
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OB006370G Issued in PA
Practice address
461 Cochran Rd
Pittsburgh, PA 15228-1253
Phone
(412) 341-1441
Fax
(412) 341-1184
NPI assigned
Oct 13, 2006
Last updated
Jan 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 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 OB006370G PA Primary

Addresses

Primary practice location

461 Cochran Rd
Pittsburgh, PA 15228-1253

Mailing address

461 Cochran Rd
Pittsburgh, PA 15228-1253
Phone (412) 341-1441

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
I20120702000128 PA Practitioner - Optometry 9931364692 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OB006370GPAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Sep 21, 2025 Accepting new patients
Mt Lebanon Vision Center CurrentSince Apr 24, 2012 Accepting new patients
Jaywalker Optometry, LLC Optometrist CurrentSince Dec 7, 2019 Accepting new patients

Locations

461 Cochran Rd
Pittsburgh, PA 15228
Phone (412) 341-1441

461 Cochran Rd
#2
Pittsburgh, PA 15228
Phone (412) 341-1441

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326758400000",
    "number": "1265522148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 COCHRAN RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152281253",
            "telephone_number": "412-341-1441",
            "fax_number": "412-341-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 COCHRAN RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152281253",
            "telephone_number": "412-341-1441",
            "fax_number": "412-341-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESLA",
        "first_name": "NICHOLAS",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2012-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OB006370G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.