Active NPI
Karl E. Streilein, O.D., PHD.
- Optometrist
- Corry, PA
National Provider Identifier
1376643999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG001563
- Practice address
- 216 N Center St
Corry, PA 16407-1627 - Phone
- (814) 665-2020
- Fax
- (814) 664-4382
- NPI assigned
- Sep 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | OEG001563 | PA | Primary |
Addresses
Primary practice location
216 N Center St
Corry, PA 16407-1627
Mailing address
216 N Center St
Corry, PA 16407-1627
Phone (814) 665-2020
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA6532 | Other | PA | EYEMED |
| 0011539530005 | Medicaid | PA | |
| 1901014-0139 | Other | PA | NATIONAL VISION ADMIN |
| KA715401 | Other | PA | BLUE SHIELD |
| 42287 | Other | PA | DAVIS VISION |
| 9-6532 | Other | PA | VISION BENEFITS OF AMERIC |
| KA1347367 | Other | PA | BLUE SHIELD |
| 6532 | Other | PA | VISION BENEFITS OF AMERIC |
| 0011539530006 | Medicaid | PA | |
| 1901014-0239 | Other | PA | NATIONAL VISION ADMIN |
| 42289 | Other | PA | DAVIS VISION |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG001563 | PA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202083200000",
"number": "1376643999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 N CENTER ST",
"city": "CORRY",
"state": "PA",
"postal_code": "164071627",
"telephone_number": "814-665-2020",
"fax_number": "814-664-4382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 N CENTER ST",
"city": "CORRY",
"state": "PA",
"postal_code": "164071627",
"telephone_number": "814-665-2020",
"fax_number": "814-664-4382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STREILEIN",
"first_name": "KARL",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "O.D., PHD.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-24",
"last_updated": "2008-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG001563",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "PA6532",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011539530005",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL VISION ADMIN",
"identifier": "1901014-0139",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "KA715401",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "42287",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISION BENEFITS OF AMERIC",
"identifier": "9-6532",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "KA1347367",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISION BENEFITS OF AMERIC",
"identifier": "6532",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011539530006",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL VISION ADMIN",
"identifier": "1901014-0239",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "42289",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corry, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.