Active NPI
Judith Humenanski, O.D.
- Optometrist
- Selinsgrove, PA
National Provider Identifier
1386740918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OE006677P
- Practice address
- Susquehanna Valley Mall Drive
Suite 2 - Boscov'S Optical Center
Selinsgrove, PA 17870-1295 - Phone
- (570) 374-0121
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- 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 | OE006677P | PA | Primary |
Addresses
Primary practice location
Susquehanna Valley Mall Drive
Suite 2 - Boscov'S Optical Center
Selinsgrove, PA 17870-1295
Mailing address
1138 Ridge Road
Montgomery, PA 17752
Phone (570) 547-6233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OE006677P | PA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205712000000",
"number": "1386740918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1138 RIDGE ROAD",
"city": "MONTGOMERY",
"state": "PA",
"postal_code": "17752",
"telephone_number": "570-547-6233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SUSQUEHANNA VALLEY MALL DRIVE",
"address_2": "SUITE 2 - BOSCOV'S OPTICAL CENTER",
"city": "SELINSGROVE",
"state": "PA",
"postal_code": "178701295",
"telephone_number": "570-374-0121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMENANSKI",
"first_name": "JUDITH",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2008-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OE006677P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Selinsgrove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.