NPIMap

Organization Active NPI

Eyes on Regent Square

  • Optometrist
  • Pittsburgh, PA
National Provider Identifier
1376677179
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG-000588 Issued in PA
Legal business name
EYES ON REGENT SQUARE
Practice address
1201 S Braddock Ave
Pittsburgh, PA 15218-1275
Phone
(412) 731-2020
NPI assigned
Mar 15, 2007
Last updated
Apr 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Authorized official

Name
Maureen Weldon Kamons, ODNPI 1427043322
Title
President
Phone
(412) 731-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG-000588 PA Primary

Addresses

Primary practice location

1201 S Braddock Ave
Pittsburgh, PA 15218-1275

Mailing address

1201 S Braddock Ave
Pittsburgh, PA 15218-1275
Phone (412) 731-2020

Other identifiers 1

IdentifierTypeStateIssuer
01728499MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1376677179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S BRADDOCK AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152181275",
            "telephone_number": "412-731-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S BRADDOCK AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152181275",
            "telephone_number": "412-731-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES ON REGENT SQUARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "KAMONS",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "WELDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-731-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG-000588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01728499",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.

Verify at the official NPI Registry.