Individual provider Active NPI

Katherine Dawn Luvaas, O.D.

  • Optometrist
  • Saint Marys, PA
National Provider Identifier
1275528960
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000619 Issued in PA
Practice address
123 Center St
Saint Marys, PA 15857-1102
Phone
(814) 834-2165
Fax
(814) 834-9450
NPI assigned
Sep 19, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000619 PA Primary

Addresses

Primary practice location

123 Center St
Saint Marys, PA 15857-1102

Mailing address

123 Center St
Saint Marys, PA 15857-1102
Phone (814) 834-2165

Other identifiers 4

IdentifierTypeStateIssuer
0014279500001MedicaidPA
LU487200OtherPABLUE CROSS/BLUE SHIELD
06534300001OtherPAMEDICARE DME
410023276OtherPARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090623000319 PA Practitioner - Optometry 6305997875 Practice locations: St Mary S, PA
O20100930084838 PA DME Supplier - Physician - Optometrist 9739208182 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Saint Marys, PA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

123 Ctr St
Saint Marys, PA 15857-1102
Phone (814) 834-2165

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000619PAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1275528960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 CENTER ST",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158571102",
            "telephone_number": "814-834-2165",
            "fax_number": "814-834-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 CENTER ST",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158571102",
            "telephone_number": "814-834-2165",
            "fax_number": "814-834-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUVAAS",
        "first_name": "KATHERINE",
        "middle_name": "DAWN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014279500001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "LU487200",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "06534300001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410023276",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, PA

Sources for this page

Verify at the official NPI Registry.