Individual provider Active NPI

John K Mucciola, OD

  • Optometrist
  • Johnstown, PA
National Provider Identifier
1447299938
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000626 Issued in PA
Practice address
120 Main St
Johnstown, PA 15901-1507
Phone
(814) 536-5343
Fax
(814) 536-1525
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000626 PA Primary

Addresses

Primary practice location

120 Main St
Johnstown, PA 15901-1507

Mailing address

PO Box 580
Johnstown, PA 15907-0580
Phone (814) 536-5343

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130923000091 PA Practitioner - Optometry 9133363732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pennwood Ophthalmic Associates PCGroup PAC ID 4880632645, 4 clinicians

Practice addresses (Care Compare)

311 Hospital Dr
Everett, PA 15537-7022
Phone (814) 623-1969

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pennwood Ophthalmic Associates, PC CurrentSince May 1, 2022 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

311 Hospital Dr
Everett, PA 15537
Phone (301) 671-2400

Interoperability endpoints

  • Direct secure messaging: jmucciola@pennwoodoph.medentdirect.com

Organizations & group practices 2

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1447299938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159070580",
            "telephone_number": "814-536-5343",
            "fax_number": "814-536-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MAIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011507",
            "telephone_number": "814-536-5343",
            "fax_number": "814-536-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCCIOLA",
        "first_name": "JOHN",
        "middle_name": "K",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.