NPIMap

Organization Active NPI

The Eyeglass Shoppe, Inc.

  • Optometrist
  • Latrobe, PA
National Provider Identifier
1356526370
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001664 Issued in PA
Legal business name
THE EYEGLASS SHOPPE, INC.
Practice address
3887 Route 30
Latrobe, PA 15650-5256
Phone
(724) 539-1900
NPI assigned
Jan 9, 2008
Last updated
Jun 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Authorized official

Name
Dr. Michael Brownfield, O.D.NPI 1760460364
Title
President
Phone
(724) 539-1900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001664 PA Primary

Addresses

Primary practice location

3887 Route 30
Latrobe, PA 15650-5256

Mailing address

3887 Route 30
Latrobe, PA 15650-5256

Other identifiers 1

IdentifierTypeStateIssuer
1023915400001MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1356526370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3887 ROUTE 30",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156505256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3887 ROUTE 30",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156505256",
            "telephone_number": "724-539-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYEGLASS SHOPPE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "BROWNFIELD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-539-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023915400001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Latrobe, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.