Joseph John Sowansky Jr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG - 002166 Issued in PA

Practice address

16039 Conneaut Lake Rd
Suite 107
Meadville, PA 16335-3859

Phone

(814) 337-2304

NPI assigned

Jul 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254528000000",
    "number": "1336165083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16039 CONNEAUT LAKE RD",
            "address_2": "SUITE 107",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16039 CONNEAUT LAKE RD",
            "address_2": "SUITE 107",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353859",
            "telephone_number": "814-337-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOWANSKY",
        "first_name": "JOSEPH",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2009-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OET-008777",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG - 002166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey M Snyder, PA-C
• Julianne Sommers, R.PH.
• Luisa Sonnek, LPC
• Southern Adventures
• Southerncare, Inc.
• Lee Shalamar Spain, D.O.
• Alida Spencer
• Dean W. Spencer, M.D.
• Lisa Srnka, CRNP
• Alicia Lynn Staats

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2009; 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.