Durriya S Esaa

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD043700L Issued in PA

Legal business name

DURRIYA S ESAA

Practice address

1201 Grampian Blvd
Suite 2C
Williamsport, PA 17701-1900

Phone

(570) 322-9948

Fax

(570) 322-6195

NPI assigned

Jun 26, 2007

Organization subpart

No

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

Authorized official

Name

Lisa L Wagner

Title

Office Manager

Phone

(570) 322-9948

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Curtis Paul Phibbs, O.D., M.S.

  • Optometrist
  • Williamsport, PA
  • NPI 1861426660
  NPD (past)
• Cynthia G Charnetski, OD

  • Optometrist
  • Hilton Head Island, SC
  • NPI 1457463275
  NPD (past)

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1467658476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 GRAMPIAN BLVD",
            "address_2": "SUITE 2C",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011900",
            "telephone_number": "570-322-9948",
            "fax_number": "570-322-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 GRAMPIAN BLVD",
            "address_2": "SUITE 2C",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011900",
            "telephone_number": "570-322-9948",
            "fax_number": "570-322-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURRIYA S ESAA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "570-322-9948"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD043700L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007503440003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "097365",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shallary Simmons Duncan, PH.D.
• Joseph Edward Dunn, LSW
• Linday Dunn
• Mollie Anne Dunn
• Amy Durland
• Eric Michael Durrwachter, DPT
• Kenneth Robert Durrwachter, MD
• Kristen Durrwachter
• Rebecca Duttry, DPT
• Leslie Dvorshock, LSW, CCTP

• Ophthalmology Physician in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.