Mt Bethel Eye Care P C

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000111 Issued in PA

Legal business name

MT BETHEL EYE CARE P C

Practice address

9 Mount Bethel PLZ
Mount Bethel, PA 18343-5212

Phone

(570) 897-5911

Fax

(570) 897-5908

NPI assigned

Jan 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Dimarco, O.D.NPI 1609879576

Title

President / Optometrist

Phone

(570) 897-5911

Specialties & licenses 2

Addresses

Other identifiers 15

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Interoperability endpoints

• FHIR API: https://mtbetheleyecarepc.ef.prod.fhir.ema-api.com/fhir/r4/

Practitioners 1

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

• Stephen Dimarco, O.D.

  • Optometrist
  • Mount Bethel, PA
  • NPI 1609879576
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1376522862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MOUNT BETHEL PLZ",
            "city": "MOUNT BETHEL",
            "state": "PA",
            "postal_code": "183435212",
            "telephone_number": "570-897-5911",
            "fax_number": "570-897-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MOUNT BETHEL PLZ",
            "city": "MOUNT BETHEL",
            "state": "PA",
            "postal_code": "183435212",
            "telephone_number": "570-897-5911",
            "fax_number": "570-897-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT BETHEL EYE CARE P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-12",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "DIMARCO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT / OPTOMETRIST",
        "authorized_official_telephone_number": "570-897-5911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000111",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "PA",
            "license": "OEG000111",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "02095801",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02886800",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "751252",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE SENIOR BLUE",
            "identifier": "02095801",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02095801",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "751252",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE SENIOR BLUE",
            "identifier": "02886800",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE SENIOR BLUE",
            "identifier": "751252",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "02886800",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1253981001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL VISION ADM.",
            "identifier": "396396",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SERVICE PLAN",
            "identifier": "5708975911",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH ADM.",
            "identifier": "G521252",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH ADM.",
            "identifier": "176529873",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "465212",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tori France, MS CCC-SLP
• Kate Hartzel, MS
• Home Care Consulting LLC
• Lehigh Valley Physician Group (LVPG Internal Medicine - Mount Bethel)
• Cassondra Jean Eden Little, M.S. CCC-SLP
• Mt Bethel Medical Center LLC
• Mt. Bethel Pharmacy Inc
• Norma Orban, M.ED.
• Jon A Raso, M.D.
• Eileen P Reuter

• Optometrist in Mount Bethel, PA
• Providers in Mount Bethel, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.