Active NPI
Optometric Care, Inc
- Optometrist
- Monaca, PA
National Provider Identifier
1366566713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- OPTOMETRIC CARE, INC
- Practice address
- 102 Wagner Rd
Monaca, PA 15061-2456 - Phone
- (724) 774-7232
- Fax
- (724) 774-1856
- NPI assigned
- Mar 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy P Wiggins, OD
- Title
- Vice President of Oci
- Phone
- (724) 774-7232
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG000668 | PA | |
| Optometrist | 152W00000X | OEG001209 | PA | |
| Optometrist | 152W00000X | OEG000767 | PA | |
| Optometrist | 152W00000X | Primary | ||
| Corneal and Contact Management Optometrist | 152WC0802X |
Addresses
Primary practice location
102 Wagner Rd
Monaca, PA 15061-2456
Mailing address
102 Wagner Rd
Monaca, PA 15061-2456
Phone (724) 774-7232
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019390180002 | Medicaid | PA | |
| 71433 | Other | PA | AETNA |
| 1392079 | Other | PA | HIGHMARK BCBS MD |
| 137838 | Other | PW | ADVANTRA HEALTH AMERICA |
| 030648 | Other | PA | HIGHMARK BCBS |
| PA4436 | Other | PA | EYEMED |
National Provider Directory
National Provider Directory- Tax ID family
- Optometric Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Bellevue, PA
- NPI 1992713184
Locations
430 Route 18
Monaca, PA 15061
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Aliquippa, PA
- NPI 1821063470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687824000000",
"number": "1366566713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WAGNER RD",
"city": "MONACA",
"state": "PA",
"postal_code": "150612456",
"telephone_number": "724-774-7232",
"fax_number": "724-774-1856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 WAGNER RD",
"city": "MONACA",
"state": "PA",
"postal_code": "150612456",
"telephone_number": "724-774-7232",
"fax_number": "724-774-1856"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTOMETRIC CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-19",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A",
"authorized_official_last_name": "WIGGINS",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "VICE PRESIDENT OF OCI",
"authorized_official_telephone_number": "724-774-7232",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "PA",
"license": "OEG000668",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "PA",
"license": "OEG001209",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "PA",
"license": "OEG000767",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Corneal and Contact Management",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019390180002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "71433",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BCBS MD",
"identifier": "1392079",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVANTRA HEALTH AMERICA",
"identifier": "137838",
"state": "PW"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BCBS",
"identifier": "030648",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "PA4436",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monaca, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.