Active NPI
Frederic W Marotta, O.D.
- Optometrist
- Hummelstown, PA
National Provider Identifier
1366428112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG001870
- Practice address
- 1194 Mae St
Hummelstown, PA 17036-9185 - Phone
- (717) 566-6374
- Fax
- (717) 566-6341
- NPI assigned
- Dec 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG001870 | PA | Primary |
Addresses
Primary practice location
1194 Mae St
Hummelstown, PA 17036-9185
Mailing address
1194 Mae St
Hummelstown, PA 17036-9185
Phone (717) 566-6374
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480464000000",
"number": "1366428112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1194 MAE ST",
"city": "HUMMELSTOWN",
"state": "PA",
"postal_code": "170369185",
"telephone_number": "717-566-6374",
"fax_number": "717-566-6341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1194 MAE ST",
"city": "HUMMELSTOWN",
"state": "PA",
"postal_code": "170369185",
"telephone_number": "717-566-6374",
"fax_number": "717-566-6341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAROTTA",
"first_name": "FREDERIC",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2016-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG001870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hummelstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.