NPIMap

Organization Active NPI

Insight Eye Consultants to Nursing Facilities Inc

  • Optometrist
  • Gibsonia, PA
National Provider Identifier
1356648554
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001104 Issued in PA
Legal business name
INSIGHT EYE CONSULTANTS TO NURSING FACILITIES INC
Practice address
1040 Old Orchard Dr
Gibsonia, PA 15044-6080
Phone
(412) 597-7603
Fax
(412) 625-5908
NPI assigned
Feb 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Authorized official

Name
Dr. Gary Reck, ODNPI 1073515482
Title
President
Phone
(724) 468-6869

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG001104 PA Primary

Addresses

Primary practice location

1040 Old Orchard Dr
Gibsonia, PA 15044-6080

Mailing address

506 Athena Dr
Delmont, PA 15626-1005
Phone (724) 468-6869

Other identifiers 1

IdentifierTypeStateIssuer
0013040290009MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110303000073 PA Part B Supplier - Clinic/Group Practice 4385826908 Receives reassigned benefits from 13 practitioners
Practice locations: Gibsonia, PA

National Provider Directory

National Provider Directory

Locations

506 Athena Dr
Delmont, PA 15626

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1356648554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 ATHENA DR",
            "city": "DELMONT",
            "state": "PA",
            "postal_code": "156261005",
            "telephone_number": "724-468-6869",
            "fax_number": "724-468-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 OLD ORCHARD DR",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150446080",
            "telephone_number": "412-597-7603",
            "fax_number": "412-625-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT EYE CONSULTANTS TO NURSING FACILITIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-24",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "RECK",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-468-6869",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013040290009",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibsonia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.