Organization Active NPI

Vittone Eye Surgical Associates PC

  • Ophthalmology Physician
  • Latrobe, PA
National Provider Identifier
1295789725
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD027487L Issued in PA
Legal business name
VITTONE EYE SURGICAL ASSOCIATES PC
Practice address
1010 Ligonier St
Latrobe, PA 15650-1882
Phone
(724) 539-1671
Fax
(724) 539-1654
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Daniel C Vittone, MD
Title
President
Phone
(724) 539-1671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X MD027487L PA Primary

Addresses

Primary practice location

1010 Ligonier St
Latrobe, PA 15650-1882

Mailing address

1010 Ligonier St
Latrobe, PA 15650-1882
Phone (724) 539-1671

Other identifiers 2

IdentifierTypeStateIssuer
1007322570005MedicaidPA
000000056651OtherPAUNISON

Other names 1

  • Vittone Eye Surgical Associates Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170530000070 PA Part B Supplier - Clinic/Group Practice 1658648464 Receives reassigned benefits from 7 practitioners
Practice locations: Latrobe, PA; Somerset, PA
O20171110000717 PA DME Supplier - Physician - OphthalmologyDME Supplier - Physician - OptometristDME Supplier - Optician 1658648464 Practice locations: Latrobe, PA

National Provider Directory

National Provider Directory
Tax ID family
Vittone Eye Surgical Associates PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1010 Ligonier St
Ste A
Latrobe, PA 15650

509 Georgian Pl
Somerset, PA 15501
Phone (814) 443-9443

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1295789725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 LIGONIER ST",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501882",
            "telephone_number": "724-539-1671",
            "fax_number": "724-539-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 LIGONIER ST",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501882",
            "telephone_number": "724-539-1671",
            "fax_number": "724-539-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITTONE EYE SURGICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "VITTONE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-539-1671",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD027487L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007322570005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000056651",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vittone Eye Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Latrobe, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.