NPIMap

Individual provider Active NPI

Sherry L Winn, O.D.

  • Optometrist
  • Clarks Summit, PA
National Provider Identifier
1356317770
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000227 Issued in PA
Practice address
301 W Grove St
Suite 1-C
Clarks Summit, PA 18411-2090
Phone
(570) 586-3228
Fax
(570) 586-3524
NPI assigned
Feb 25, 2006
Last updated
Sep 4, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000227 PA Primary

Addresses

Primary practice location

301 W Grove St
Suite 1-C
Clarks Summit, PA 18411-2090

Mailing address

301 W Grove St
Suite 1-C
Clarks Summit, PA 18411-2090
Phone (570) 586-3228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050329000407 PA Practitioner - Optometry 3971559311 Practice locations: Clarks Summit, PA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

301 W Grove St
Clarks Summit, PA 18411-2080
Phone (570) 586-3228

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Luxottica of America Inc Past Accepting new patients

Organizations & group practices 1

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

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188864000000",
    "number": "1356317770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W GROVE ST",
            "address_2": "SUITE 1-C",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184112090",
            "telephone_number": "570-586-3228",
            "fax_number": "570-586-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W GROVE ST",
            "address_2": "SUITE 1-C",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184112090",
            "telephone_number": "570-586-3228",
            "fax_number": "570-586-3524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINN",
        "first_name": "SHERRY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-25",
        "last_updated": "2007-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarks Summit, PA

Sources for this page

Verify at the official NPI Registry.