Active NPI
Waterford Eye Care, PC
- Optometrist
- Waterford, PA
National Provider Identifier
1275626798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG001065
- Legal business name
- WATERFORD EYE CARE, PC
- Practice address
- 503 High Street
Waterford, PA 16441 - Phone
- (814) 796-1133
- Fax
- (814) 796-1133
- NPI assigned
- Oct 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Allison Benacci, O.D.
- Title
- President/Optometrist
- Phone
- (814) 796-1133
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG001065 | PA | Primary |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
503 High Street
Waterford, PA 16441
Mailing address
503 High Street
Waterford, PA 16441
Phone (814) 796-1133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001302089 | Other | PA | HIGHMARK BCBS GROUP NO. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Erie, PA
- NPI 1609807890
-
- Optometrist
- Waterford, PA
- NPI 1023090529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763596800000",
"number": "1275626798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 HIGH STREET",
"city": "WATERFORD",
"state": "PA",
"postal_code": "16441",
"telephone_number": "814-796-1133",
"fax_number": "814-796-1133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 HIGH STREET",
"city": "WATERFORD",
"state": "PA",
"postal_code": "16441",
"telephone_number": "814-796-1133",
"fax_number": "814-796-1133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WATERFORD EYE CARE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A",
"authorized_official_last_name": "BENACCI",
"authorized_official_first_name": "ALLISON",
"authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
"authorized_official_telephone_number": "814-796-1133",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "PA",
"license": "OEG001065",
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BCBS GROUP NO.",
"identifier": "001302089",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.