Tracy C Sepich, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000589 Issued in PA

Practice address

100 Oakwood Avenue
Ste 300
State College, PA 16803

Phone

(814) 272-0262

Fax

(814) 272-1501

NPI assigned

Jan 25, 2006

Last updated

Jun 1, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tracy E Carpenter Former name

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1991

Medicare assignment

May accept Medicare assignment

Group practices

Restore Eye Care, P.C.Group PAC ID 7719909829, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tsepich@sepicheyecare.eyefinitydirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Restore Eye Care, P.C.

  • Optometrist
  • State College, PA
  • NPI 1821078569
  Medicare reassignment Care Compare group NPD Authorized official
• Wagner Family Eyecare, PC

  • Optometrist
  • Seneca, PA
  • NPI 1043498249
  NPD (past)

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338508800000",
    "number": "1407826969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OAKWOOD AVENUE",
            "address_2": "STE 300",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "16803",
            "telephone_number": "814-272-0262",
            "fax_number": "814-272-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OAKWOOD AVENUE",
            "address_2": "STE 300",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "16803",
            "telephone_number": "814-272-0262",
            "fax_number": "814-272-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPICH",
        "first_name": "TRACY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2012-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014195820005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "CARPENTER",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Senior & Associates P.C.
• Jeffrey A Senior, DMD
• Jenna A Senior, D.M.D
• Paul Richard Sensiba, MD
• Rodney M Sepich, MD
• James W Serene, MD
• Serenity Wellness Centre, LLC
• Abhishek Seth, MD
• Katherine Allison Shaak, LAT, ATC, PES
• Leonard Shamus, NP

• Optometrist in State College, PA
• Providers in State College, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.