Active NPI
Joseph F Cimochowski, OD
- Optometrist
- Scranton, PA
National Provider Identifier
1285646307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000531
- Practice address
- 200 Mifflin Ave
Scranton, PA 18503 - Phone
- (570) 342-3145
- Fax
- (570) 344-1309
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG000531 | PA | Primary |
Addresses
Primary practice location
200 Mifflin Ave
Scranton, PA 18503
Mailing address
200 Mifflin Ave
Scranton, PA 18503
Phone (570) 342-3145
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 072544 | Other | FIRST PRIORITY HEALTH | |
| 001156220 | Medicaid | PA | |
| 20968 | Other | GEISINGER HEALTH PLAN | |
| 506554 | Other | AETNA | |
| CI060799 | Other | HIGH MARK BLUE SHIELD | |
| 182939040 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG000531 | PA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262736000000",
"number": "1285646307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MIFFLIN AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "18503",
"telephone_number": "570-342-3145",
"fax_number": "570-344-1309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MIFFLIN AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "18503",
"telephone_number": "570-342-3145",
"fax_number": "570-344-1309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIMOCHOWSKI",
"first_name": "JOSEPH",
"middle_name": "F",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2010-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG000531",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY HEALTH",
"identifier": "072544",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001156220",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALTH PLAN",
"identifier": "20968",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "506554",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGH MARK BLUE SHIELD",
"identifier": "CI060799",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "182939040",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.