Active NPI
Don Thomas Cole, O.D.
- Optometrist
- Monroeville, PA
National Provider Identifier
1437219169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5488
- Practice address
- 4522 Broadway Blvd
Haymaker Village
Monroeville, PA 15146-4745 - Phone
- (412) 373-8670
- Fax
- (412) 373-5053
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5488 | PA | Primary |
Addresses
Primary practice location
4522 Broadway Blvd
Haymaker Village
Monroeville, PA 15146-4745
Mailing address
4522 Broadway Blvd
Haymaker Village
Monroeville, PA 15146-4745
Phone (412) 373-8670
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0017525 | Other | PA | DORAL |
| 50721 | Other | PA | DAVIS |
| 410001408 | Other | PA | MEDICARE - RAILROAD |
| 1437219169 | Other | PA | NPI |
| 5488 | Other | PA | VISION BENEFITS OF AMERIC |
| 000074811 | Other | PA | KEYSTONE BLUE |
| 251400459 | Other | PA | AETNA |
| 74811 | Other | PA | HIGHMARK MEDICARE |
| CO74811 | Other | PA | BLUE SHIELD |
| 000557038002 | Other | PA | PROMISE |
Medicare participation
Medicare enrollment files- 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
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120322000288 | PA | Practitioner - Optometry | 3678686722 | Practice locations: Monroeville, PA |
| O20100930081163 | PA | DME Supplier - Physician - Optometrist | 9133249642 | Practice locations: Monroeville, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4522 Broadway Blvd
Monroeville, PA 15146-4745
Phone (412) 373-8670
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5488 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott K Gray DPM PA | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329177600000",
"number": "1437219169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4522 BROADWAY BLVD",
"address_2": "HAYMAKER VILLAGE",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151464745",
"telephone_number": "412-373-8670",
"fax_number": "412-373-5053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4522 BROADWAY BLVD",
"address_2": "HAYMAKER VILLAGE",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151464745",
"telephone_number": "412-373-8670",
"fax_number": "412-373-5053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "DON",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2012-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "5488",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DORAL",
"identifier": "0017525",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS",
"identifier": "50721",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - RAILROAD",
"identifier": "410001408",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1437219169",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISION BENEFITS OF AMERIC",
"identifier": "5488",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE BLUE",
"identifier": "000074811",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "251400459",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK MEDICARE",
"identifier": "74811",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "CO74811",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROMISE",
"identifier": "000557038002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.