Organization Active NPI

Dowling Family Eye Care P.C

  • Eyewear Supplier
  • Honesdale, PA
National Provider Identifier
1447589015
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
OEG001391 Issued in PA
Legal business name
DOWLING FAMILY EYE CARE P.C
Practice address
650 Old Willow Ave
Ste. L
Honesdale, PA 18431-4218
Phone
(570) 251-9100
Fax
(570) 251-9926
NPI assigned
Dec 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Authorized official

Name
Lisa Dowling, O.D.NPI 1275552721
Title
Optometrist
Phone
(570) 251-9100

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X OEG001391 PA Primary

Addresses

Primary practice location

650 Old Willow Ave
Ste. L
Honesdale, PA 18431-4218

Mailing address

650 Old Willow Ave
Ste. L
Honesdale, PA 18431-4218
Phone (570) 251-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091231000144 PA Part B Supplier - Clinic/Group Practice 3476694233 Receives reassigned benefits from 3 practitioners
Practice locations: Honesdale, PA

National Provider Directory

National Provider Directory

Locations

160 Grandview Ave
Honesdale, PA 18431
Phone (570) 251-9100

650 Old Willow Ave
Ste L
Honesdale, PA 18431
Phone (570) 251-9100

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1447589015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 OLD WILLOW AVE",
            "address_2": "STE. L",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184314218",
            "telephone_number": "570-251-9100",
            "fax_number": "570-251-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 OLD WILLOW AVE",
            "address_2": "STE. L",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184314218",
            "telephone_number": "570-251-9100",
            "fax_number": "570-251-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWLING FAMILY EYE CARE P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "DOWLING",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "570-251-9100",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "PA",
            "license": "OEG001391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honesdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.

Verify at the official NPI Registry.