Individual provider Active NPI

Jane Anne Forte-Guaetta, OD

  • Optometrist
  • Harrisburg, PA
National Provider Identifier
1396704466
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000009 Issued in PA
Practice address
3950 Tecport Dr Ste 170
Harrisburg, PA 17111-1472
Phone
(717) 564-5211
Fax
(717) 564-5280
NPI assigned
Mar 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000009 PA Primary

Addresses

Primary practice location

3950 Tecport Dr Ste 170
Harrisburg, PA 17111-1472

Mailing address

3950 Tecport Dr Ste 170
Harrisburg, PA 17111-1472
Phone (717) 564-5211

Other identifiers 1

IdentifierTypeStateIssuer
F0817163OtherPID

Other names 1

  • Dr. Jane Anne Forte Former name

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
I20150330000429 PA Practitioner - Optometry 9436476587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pease Sieber Eye Associates PCGroup PAC ID 9739126582, 2 clinicians

Practice addresses (Care Compare)

3950 Tecport Dr
Suite 170
Harrisburg, PA 17111-1472
Phone (717) 564-5211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pease-Sieber Eye Associates, P.C. Optometrist CurrentSince Jan 1, 2015 Accepting new patients

Locations

3950 Tecport Dr
Ste 170
Harrisburg, PA 17111
Phone (717) 564-5211

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.

NPI Registry JSON

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1396704466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 TECPORT DR STE 170",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171111472",
            "telephone_number": "717-564-5211",
            "fax_number": "717-564-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 TECPORT DR STE 170",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171111472",
            "telephone_number": "717-564-5211",
            "fax_number": "717-564-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTE-GUAETTA",
        "first_name": "JANE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-18",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PID",
            "identifier": "F0817163",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "FORTE",
            "middle_name": "ANNE",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.