NPIMap

Organization Active NPI

Blake a Housler OD Inc

Doing business as Allegheny Eye Care

  • Optometrist
  • Kane, PA
National Provider Identifier
1407046451
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000844 Issued in PA
Legal business name
BLAKE A HOUSLER OD INC
Doing business as
Allegheny Eye Care
Practice address
175 N Fraley St
Kane, PA 16735-1164
Phone
(814) 837-7880
Fax
(814) 837-0883
NPI assigned
Jul 26, 2007
Last updated
Feb 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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

Authorized official

Name
Blake A Housler, ODNPI 1285018952
Title
President
Phone
(814) 837-7880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG000844 PA Primary

Addresses

Primary practice location

175 N Fraley St
Kane, PA 16735-1164

Mailing address

175 N Fraley St
Kane, PA 16735-1164
Phone (814) 837-7880

Other names 1

  • Allegheny Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120306000486 PA Part B Supplier - Clinic/Group Practice 5698893709 Receives reassigned benefits from 18 practitioners
Practice locations: Smethport, PA

National Provider Directory

National Provider Directory

Locations

175 N Fraley St
Kane, PA 16735
Phone (814) 837-7880

215 W Main St
Smethport, PA 16749
Phone (814) 837-7880

422 W Main St
Smethport, PA 16749
Phone (814) 837-7880

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550448000000",
    "number": "1407046451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 N FRALEY ST",
            "city": "KANE",
            "state": "PA",
            "postal_code": "167351164",
            "telephone_number": "814-837-7880",
            "fax_number": "814-837-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N FRALEY ST",
            "city": "KANE",
            "state": "PA",
            "postal_code": "167351164",
            "telephone_number": "814-837-7880",
            "fax_number": "814-837-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKE A HOUSLER OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2019-02-18",
        "status": "A",
        "authorized_official_last_name": "HOUSLER",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-837-7880",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allegheny Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kane, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; 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.