Individual provider Active NPI

Jerome A Galanti, O.D.

  • Optometrist
  • Altoona, PA
National Provider Identifier
1356323836
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG 001565 Issued in PA
Practice address
130 W Plank Rd
Sears Logan Valley Mall
Altoona, PA 16602-3012
Phone
(814) 944-8685
Fax
(814) 942-4313
NPI assigned
Nov 18, 2005
Last updated
Jul 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG 001565 PA Primary

Addresses

Primary practice location

130 W Plank Rd
Sears Logan Valley Mall
Altoona, PA 16602-3012

Mailing address

130 W Plank Rd
Sears Logan Valley Mall
Altoona, PA 16602-3012
Phone (814) 944-8685

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
I20101008000021 PA Practitioner - Optometry 5799977732 Practice locations: Altoona, PA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5580 Goods LN
Suite 2031
Altoona, PA 16602-2852
Phone (814) 944-1492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG 001565PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
SMC Vision Care, LLC Optometrist 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.

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1356323836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W PLANK RD",
            "address_2": "SEARS LOGAN VALLEY MALL",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166023012",
            "telephone_number": "814-944-8685",
            "fax_number": "814-942-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W PLANK RD",
            "address_2": "SEARS LOGAN VALLEY MALL",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166023012",
            "telephone_number": "814-944-8685",
            "fax_number": "814-942-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALANTI",
        "first_name": "JEROME",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG 001565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.