Individual provider Active NPI

Don Thomas Cole, O.D.

  • Optometrist
  • Monroeville, PA
National Provider Identifier
1437219169
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5488 Issued in PA
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

Updated by the provider on Feb 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0017525OtherPADORAL
50721OtherPADAVIS
410001408OtherPAMEDICARE - RAILROAD
1437219169OtherPANPI
5488OtherPAVISION BENEFITS OF AMERIC
000074811OtherPAKEYSTONE BLUE
251400459OtherPAAETNA
74811OtherPAHIGHMARK MEDICARE
CO74811OtherPABLUE SHIELD
000557038002OtherPAPROMISE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
5488PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Scott K Gray DPM PA CurrentSince Mar 22, 2012 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.

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

Verify at the official NPI Registry.