Individual provider Active NPI

Deborah Ann Tassari

  • Optician
  • Pittsburgh, PA
National Provider Identifier
1427030626
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Practice address
124 Oakland Ave
Peter'S Optical Shoppe
Pittsburgh, PA 15213-3503
Phone
(412) 681-8913
Fax
(412) 681-1436
NPI assigned
Nov 15, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X Primary

Addresses

Primary practice location

124 Oakland Ave
Peter'S Optical Shoppe
Pittsburgh, PA 15213-3503

Mailing address

124 Oakland Ave
Peter'S Optical Shoppe
Pittsburgh, PA 15213-3503
Phone (412) 681-8913

Other identifiers 2

IdentifierTypeStateIssuer
0010702980002MedicaidPA
332B00000XMedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1427030626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 OAKLAND AVE",
            "address_2": "PETER'S OPTICAL SHOPPE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133503",
            "telephone_number": "412-681-8913",
            "fax_number": "412-681-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 OAKLAND AVE",
            "address_2": "PETER'S OPTICAL SHOPPE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133503",
            "telephone_number": "412-681-8913",
            "fax_number": "412-681-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASSARI",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010702980002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332B00000X",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.