Central Penn Vision Associates, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000861 Issued in PA

Legal business name

CENTRAL PENN VISION ASSOCIATES, PC

Practice address

233 N Front St
Suite a
Philipsburg, PA 16866-1669

Phone

(814) 342-4611

Fax

(814) 342-5840

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie Fozard, O.D.NPI 1922194182

Title

Doctor

Phone

(814) 342-4611

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Fozard, O.D.

  • Optometrist
  • Philipsburg, PA
  • NPI 1922194182
  Medicare reassignment Care Compare group NPD Authorized official
• Katherine Terese Harvatine, OD

  • Optometrist
  • State College, PA
  • NPI 1316950348
  Medicare reassignment Care Compare group NPD
• Danielle Marie Trego, O.D.

  • Optometrist
  • Philipsburg, PA
  • NPI 1386794402
  Medicare reassignment Care Compare group NPD
• Marshall L. Goldstein, O.D.

  • Optometrist
  • State College, PA
  • NPI 1134172307
  NPD (past)
• Brad R Huot, MD

  • Internal Medicine Physician
  • Portland, ME
  • NPI 1891866372
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1407970171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 N FRONT ST",
            "address_2": "SUITE A",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168661669",
            "telephone_number": "814-342-4611",
            "fax_number": "814-342-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 N FRONT ST",
            "address_2": "SUITE A",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168661669",
            "telephone_number": "814-342-4611",
            "fax_number": "814-342-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PENN VISION ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "FOZARD",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "814-342-4611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DC3566",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "533684",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Melissa A Chimenti, LCSW
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• Marlee Jo Chutko, COTA/L

• Optometrist in Philipsburg, PA
• Providers in Philipsburg, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; 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.