Individual provider Active NPI

James Joseph Foley, O.D.

  • Optometrist
  • Saint Clair, PA
National Provider Identifier
1295816601
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000718 Issued in PA
Practice address
500 Terry Rich Blvd
Saint Clair, PA 17970-1090
Phone
(570) 429-2650
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000718 PA Primary

Addresses

Primary practice location

500 Terry Rich Blvd
Saint Clair, PA 17970-1090

Mailing address

224 Jackson Street
Port Carbon, PA 17965-1522
Phone (570) 622-9417

Other identifiers 1

IdentifierTypeStateIssuer
0015201210005MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080811000535 PA Practitioner - Optometry 6406920354 Practice locations: Saint Clair, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Independence Corporation Optometrist Past Accepting new patients
Independence Corporation Optometrist PastSince Jun 1, 2018 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365724800000",
    "number": "1295816601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 JACKSON STREET",
            "city": "PORT CARBON",
            "state": "PA",
            "postal_code": "179651522",
            "telephone_number": "570-622-9417",
            "fax_number": "570-622-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 TERRY RICH BLVD",
            "city": "SAINT CLAIR",
            "state": "PA",
            "postal_code": "179701090",
            "telephone_number": "570-429-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLEY",
        "first_name": "JAMES",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2013-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015201210005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair, PA

Sources for this page

Verify at the official NPI Registry.