Individual provider Active NPI

James J Piersol, O.D.

  • Optometrist
  • Erie, PA
National Provider Identifier
1467466631
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000664 Issued in PA
Practice address
2203 W 38TH St
Erie, PA 16506-4501
Phone
(814) 838-2020
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000664 PA Primary

Addresses

Primary practice location

2203 W 38TH St
Erie, PA 16506-4501

Mailing address

5585 Williams Rd
North East, PA 16428-4825
Phone (814) 725-0473

Other identifiers 1

IdentifierTypeStateIssuer
0013062200002MedicaidPA

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
I20120110000299 PA Practitioner - Optometry 4587830716 Reassigns benefits to 1 organization
Practice locations: Erie, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Ohio Professional PC Optometrist CurrentSince May 1, 2020 Accepting new patients
Aeg Ohio Professional PC Optometrist CurrentSince May 1, 2020 Accepting new patients
Dr Piersol and Associates PLLC Optometrist PastSince Nov 18, 2015 Accepting new patients

Locations

2203 W 38th St
Erie, PA 16506
Phone (814) 838-2020

2240 E 38th St
Erie, PA 16510
Phone (814) 824-3937

1200 E Campbell Rd
Ste 108
Richardson, TX 75081
Phone (972) 370-5552

Organizations & group practices 3

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467466631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5585 WILLIAMS RD",
            "city": "NORTH EAST",
            "state": "PA",
            "postal_code": "164284825",
            "telephone_number": "814-725-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 W 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064501",
            "telephone_number": "814-838-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERSOL",
        "first_name": "JAMES",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013062200002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.