Individual provider Active NPI

David John Cage, O.D.

  • Optometrist
  • Erie, PA
National Provider Identifier
1376542449
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001497 Issued in PA
Practice address
2640 W 38TH St
Erie, PA 16506-4524
Phone
(814) 835-8258
Fax
(814) 838-0104
NPI assigned
Jul 20, 2005
Last updated
Apr 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001497 PA Primary

Addresses

Primary practice location

2640 W 38TH St
Erie, PA 16506-4524

Mailing address

2640 W 38TH St
Erie, PA 16506-4524
Phone (814) 835-8258

Other identifiers 2

IdentifierTypeStateIssuer
1737799OtherPABLUE CROSS
DG8866OtherPAR.R. MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050401000760 PA Practitioner - Optometry 3072560028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayfront Eyecare, P.C.Group PAC ID 4284717158, 5 clinicians

Practice addresses (Care Compare)

300 State St
Suite 202
Erie, PA 16507-1429
Phone (814) 454-6517

Merit-based Incentive Payment System (MIPS)

Final score
7.5 of 100Reported as individual
Quality
15
Improvement activities
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG001497PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bayfront Eyecare, P.C. Optometrist CurrentSince Jan 1, 2008 Accepting new patients
Griffith Eye Center PC Optometrist Past Accepting new patients
Robert Ricart OD and Associates Optometrist PastSince Jan 1, 2008 Accepting new patients
Griffith Eye Center PC Optometrist PastSince Jun 17, 2024 Accepting new patients

Locations

300 State St
Ste 202
Erie, PA 16507
Phone (814) 454-6417

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1376542449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 W 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064524",
            "telephone_number": "814-835-8258",
            "fax_number": "814-838-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 W 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064524",
            "telephone_number": "814-835-8258",
            "fax_number": "814-838-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAGE",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1737799",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R.R. MEDICARE",
            "identifier": "DG8866",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.