Individual provider Active NPI

David C. Strattan, O.D.

  • Optometrist
  • Cranberry Township, PA
National Provider Identifier
1306806138
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001529 Issued in PA
Practice address
20475 Route 19
Cranberry Township, PA 16066-7506
Phone
(724) 776-1079
Fax
(724) 742-1233
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001529 PA Primary

Addresses

Primary practice location

20475 Route 19
Cranberry Township, PA 16066-7506

Mailing address

8730 Norwin Ave
North Huntingdon, PA 15642-2745
Phone (724) 864-7777

Other identifiers 3

IdentifierTypeStateIssuer
15019502110339MedicaidPA
P00168056OtherPAPALMETTO GBA, RAILROAD MEDICARE
192501OtherPAHIGHMARK BLUECROSSBLUESH

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

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1306806138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8730 NORWIN AVE",
            "city": "NORTH HUNTINGDON",
            "state": "PA",
            "postal_code": "156422745",
            "telephone_number": "724-864-7777",
            "fax_number": "724-864-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20475 ROUTE 19",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160667506",
            "telephone_number": "724-776-1079",
            "fax_number": "724-742-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRATTAN",
        "first_name": "DAVID",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15019502110339",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA, RAILROAD MEDICARE",
            "identifier": "P00168056",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUECROSSBLUESH",
            "identifier": "192501",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.