Active NPI
Elijha David King, OPTICIAN
- Optician
- Pittsburgh, PA
National Provider Identifier
1386818235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 02142912
- Practice address
- 311 S Craig St
Suite 1a
Pittsburgh, PA 15213-3734 - Phone
- (412) 621-2523
- NPI assigned
- Apr 22, 2008
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 02142912 | PA | Primary |
Addresses
Primary practice location
311 S Craig St
Suite 1a
Pittsburgh, PA 15213-3734
Mailing address
311 S Craig St
Suite 1a
Pittsburgh, PA 15213-3734
Phone (412) 621-2523
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02142912 | PA | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakland Fashion Optical LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Eyewear Supplier
- Pittsburgh, PA
- NPI 1013890524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208822400000",
"number": "1386818235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 S CRAIG ST",
"address_2": "SUITE 1A",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152133734",
"telephone_number": "412-621-2523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 S CRAIG ST",
"address_2": "SUITE 1A",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152133734",
"telephone_number": "412-621-2523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "ELIJHA",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "OPTICIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-22",
"last_updated": "2008-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "PA",
"license": "02142912",
"primary": true
}
],
"identifiers": [],
"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 22, 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.