Allegany Optical LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

6000003183 Issued in PA

Legal business name

ALLEGANY OPTICAL LLC

Practice address

319 York Rd
Carlisle, PA 17013-3160

Phone

(717) 258-4422

Fax

(717) 258-4245

NPI assigned

Dec 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James J Whitelock, O.D.

Title

O.D. / Managing Member

Phone

(717) 263-2389

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• ALLEGANY OPTICAL Doing business as

Locations

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1306029335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 YORK RD",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133160",
            "telephone_number": "717-258-4422",
            "fax_number": "717-258-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 YORK RD",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133160",
            "telephone_number": "717-258-4422",
            "fax_number": "717-258-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGANY OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "WHITELOCK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "O.D. / MANAGING MEMBER",
        "authorized_official_telephone_number": "717-263-2389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "6000003183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ5439",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007510100020",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLEGANY OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.