Erie Eye Clinic, Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

ERIE EYE CLINIC, INC

Practice address

128 W 12TH St
Ste 200
Erie, PA 16501-1750

Phone

(814) 452-2796

Fax

(814) 454-7484

NPI assigned

Feb 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anthony D Sala II, D.O.NPI 1811038730

Title

President

Phone

(814) 452-2796

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 4

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.

• Anthony D Sala II, D.O.

  • Ophthalmology Physician
  • Erie, PA
  • NPI 1811038730
  Medicare reassignment Care Compare group NPD Authorized official
• Michael E Sala, D.O.

  • Ophthalmology Physician
  • Erie, PA
  • NPI 1891836722
  Medicare reassignment Care Compare group NPD
• Douglas J Villella, OD

  • Optometrist
  • Erie, PA
  • NPI 1326073248
  Medicare reassignment Care Compare group NPD
• Rebecca Sutter, OD

  • Optometrist
  • Erie, PA
  • NPI 1891544144
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386785210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 W 12TH ST",
            "address_2": "STE 200",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011750",
            "telephone_number": "814-452-2796",
            "fax_number": "814-454-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 W 12TH ST",
            "address_2": "STE 200",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011750",
            "telephone_number": "814-452-2796",
            "fax_number": "814-454-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIE EYE CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SALA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-452-2796",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "089457",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Erie, PA
• Providers in Erie, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.