Active NPI
Bethlehem Eye Care Associates, P. C.
- Optometrist
- Bethlehem, PA
National Provider Identifier
1417973959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- BETHLEHEM EYE CARE ASSOCIATES, P. C.
- Doing business as
- Bethlehem Eye Care Associates, P. C.
- Practice address
- 547 Main St
Bethlehem, PA 18018-5810 - Phone
- (610) 866-5815
- Fax
- (610) 866-2450
- NPI assigned
- Jul 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anthony A. Krasnicke, O.D.
- Title
- President
- Phone
- (610) 866-5815
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | PA | ||
| Eyewear Supplier | 332H00000X |
Addresses
Primary practice location
547 Main St
Bethlehem, PA 18018-5810
Mailing address
547 Main St
Bethlehem, PA 18018-5810
Phone (610) 866-5815
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0643140001 | Other | PA | DMERCA (DURABLE MEDICAL) |
| 04171936000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 02827400 | Other | PA | CAPITAL BLUE CROSS |
| 100737745 | Medicaid | PA | |
| 000641470 | Other | PA | HIGHMARK BLUE SHIELD |
Other names 1
- Bethlehem Eye Care Associates, P. C.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
National Provider Directory
National Provider Directory- Tax ID family
- Bethlehem Eye Care Asso
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Eyewear Supplier
- Bethlehem, PA
- NPI 1417971896
Locations
547 Main St
Bethlehem, PA 18018
Phone (610) 866-5815
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Bethlehem, PA
- NPI 1790342103
-
- Optometrist
- Bethlehem, PA
- NPI 1073525911
-
- Optometrist
- Bethlehem, PA
- NPI 1770503088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339459200000",
"number": "1417973959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "547 MAIN ST",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180185810",
"telephone_number": "610-866-5815",
"fax_number": "610-866-2450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "547 MAIN ST",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180185810",
"telephone_number": "610-866-5815",
"fax_number": "610-866-2450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETHLEHEM EYE CARE ASSOCIATES, P. C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-15",
"last_updated": "2012-06-12",
"status": "A",
"authorized_official_last_name": "KRASNICKE",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "610-866-5815",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERCA (DURABLE MEDICAL)",
"identifier": "0643140001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "04171936000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "02827400",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100737745",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "000641470",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bethlehem Eye Care Associates, P. C.",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Bethlehem, PA
- Bethlehem Endoscopy Center LLC
- Bethlehem Endoscopy Center LLC
- Bethlehem Endoscopy Center LLC
- Bethlehem Eye Associates, P.C.
- Bethlehem Eye Care Associates, P. C.
- Bethlehem Family Dental PC
- Bethlehem Infectious Diseases Associates LLC
- Bethlehem Ophthalmology Associates
- Bethlehem Pediatric Dental Associates
- Bethlehem Pharmacy RX Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.