Active NPI
Pediatric Ophthalmology & Strabismus Inc
- Ophthalmology Physician
- Cranberry TWP, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- PEDIATRIC OPHTHALMOLOGY & STRABISMUS INC
- Practice address
- 124 Graham Park Dr Ste 300
Cranberry TWP, PA 16066-8328 - Phone
- (724) 772-3388
- Fax
- (724) 772-7021
- NPI assigned
- Jul 6, 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
- Michael Anthony Spavelko
- Title
- Operations Manager
- Phone
- (724) 772-3388
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
124 Graham Park Dr Ste 300
Cranberry TWP, PA 16066-8328
Mailing address
124 Graham Park Dr Ste 300
Cranberry TWP, PA 16066-8328
Phone (724) 772-3388
Other practice location 1
20397 Rt 19
Ste 232
Cranberry Twp, PA 16066
Phone (724) 772-3388
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011126920003 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pedeyemd@direct-address.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
124 Graham Park Dr
Ste 300
Cranberry Twp, PA 16066
Phone (724) 722-3388
124 Graham Park Dr
Cranberry Twp, PA 16066
Phone (724) 772-3388
20397 Route 19
Ste 300
Cranberry Twp, PA 16066
Phone (724) 772-3338
4750 Old William Penn Hwy
Ste 2
Murrysville, PA 15668
Interoperability endpoints
- pedeyemd@direct-address.org
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Philadelphia, PA
- NPI 1679925283
-
- Pediatric Ophthalmology and Strabismus Specialist Physician
- Cranberry TWP, PA
- NPI 1942396239
-
- Pediatric Ophthalmology and Strabismus Specialist Physician
- Cranberry TWP, PA
- NPI 1760669949
-
- Ophthalmology Physician
- Pittsburgh, PA
- NPI 1144397282
-
- Ophthalmology Physician
- Rochester, NY
- NPI 1093733651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646870400000",
"number": "1285665356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 GRAHAM PARK DR STE 300",
"city": "CRANBERRY TWP",
"state": "PA",
"postal_code": "160668328",
"telephone_number": "724-772-3388",
"fax_number": "724-772-7021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 GRAHAM PARK DR STE 300",
"city": "CRANBERRY TWP",
"state": "PA",
"postal_code": "160668328",
"telephone_number": "724-772-3388",
"fax_number": "724-772-7021"
}
],
"practiceLocations": [
{
"address_1": "20397 Rt 19",
"address_2": "Ste 232",
"address_purpose": "LOCATION",
"city": "Cranberry Twp",
"state": "PA",
"postal_code": "16066",
"country_code": "US",
"telephone_number": "724-772-3388",
"fax_number": "724-772-7021",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PEDIATRIC OPHTHALMOLOGY & STRABISMUS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-06",
"last_updated": "2022-03-10",
"certification_date": "2022-03-10",
"status": "A",
"authorized_official_last_name": "SPAVELKO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "724-772-3388"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011126920003",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pedeyemd@direct-address.org",
"affiliation": "N",
"address_1": "124 Graham Park Dr Ste 300",
"city": "Cranberry Twp",
"state": "PA",
"country_code": "US",
"postal_code": "160668328",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cranberry TWP, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.