John Opalka OD & Associates, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000706 Issued in PA

Legal business name

JOHN OPALKA OD & ASSOCIATES, LLC

Doing business as

Professional Contact Lens Center

Practice address

131 N McKean St
Kittanning, PA 16201-1565

Phone

(724) 543-2702

Fax

(724) 543-5171

NPI assigned

Jan 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John Opalka, O.D.NPI 1235129941

Title

Owner/Partner

Phone

(724) 543-2702

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Professional Contact Lens Center Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John D Opalka, O.D.

  • Optometrist
  • Kittanning, PA
  • NPI 1235129941
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1275719429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 N MCKEAN ST",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162011565",
            "telephone_number": "724-543-2702",
            "fax_number": "724-543-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N MCKEAN ST",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162011565",
            "telephone_number": "724-543-2702",
            "fax_number": "724-543-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN OPALKA OD & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2012-07-13",
        "status": "A",
        "authorized_official_last_name": "OPALKA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "724-543-2702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01720857",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1235129941",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "411447",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP",
            "identifier": "1275719429",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Contact Lens Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Kittanning, PA
• Providers in Kittanning, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; 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.

Verify at the official NPI Registry.