Individual provider Active NPI

Antonio Chirumbolo, O.D.

  • Optometrist
  • Pittsburgh, PA
National Provider Identifier
1376982355
Registry record updated Jun 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002803 Issued in PA
Practice address
2414 Silver Oak Dr
Pittsburgh, PA 15220-3933
Phone
(412) 726-3960
NPI assigned
Jun 23, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002803 PA Primary

Addresses

Primary practice location

2414 Silver Oak Dr
Pittsburgh, PA 15220-3933

Mailing address

2414 Silver Oak Dr
Pittsburgh, PA 15220-3933
Phone (412) 726-3960

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
I20131101000254 PA Practitioner - Optometry 7810122652 Reassigns benefits to 1 organization
Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG002803PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Jan 15, 2019 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Jan 15, 2019 Accepting new patients
Dub See Inc. Optometrist PastSince Jun 24, 2020 Accepting new patients

Locations

1315 6th Ave
Beaver Falls, PA 15010
Phone (724) 843-1870

125 S Antrim Way
Greencastle, PA 17225
Phone (717) 597-4780

961 Brodhead Rd
Moon Twp, PA 15108
Phone (412) 262-1530

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371945600000",
    "number": "1376982355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 SILVER OAK DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152203933",
            "telephone_number": "412-726-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 SILVER OAK DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152203933",
            "telephone_number": "412-726-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIRUMBOLO",
        "first_name": "ANTONIO",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-23",
        "last_updated": "2013-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.