Organization Active NPI

Jmdlad Inc.

  • Eyewear Supplier
  • Hanover, PA
National Provider Identifier
1487971768
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
JMDLAD INC.
Practice address
600 Carlisle St Ste a
Hanover, PA 17331-5100
Phone
(717) 632-5558
Fax
(717) 632-7493
NPI assigned
Apr 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Authorized official

Name
Mr. John M DiehlNPI 1841528155
Title
President
Phone
(717) 632-5558

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X
Eyewear Supplier 332H00000X Primary
Hearing Aid Equipment 332S00000X 60000001267 PA

Addresses

Primary practice location

600 Carlisle St Ste a
Hanover, PA 17331-5100

Mailing address

600 Carlisle St Ste a
Hanover, PA 17331-5100
Phone (717) 632-5558

Other names 2

  • DBA Darrell M. Sipe Opticians Inc. Doing business as
  • Darrell M. Sipe Opticians and Hearing Aids Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930047269 PA DME Supplier - Optician 8820288905 Practice locations: Hanover, PA
O20220105000040 PA Part B Supplier - Clinic/Group Practice 8820288905 Receives reassigned benefits from 1 practitioner
Practice locations: Gettysburg, PA; Hanover, PA; Spring Grove, PA

National Provider Directory

National Provider Directory
Tax ID family
Jmdlad Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

39 N Washington St
Ste 2
Gettysburg, PA 17325
Phone (717) 400-5558

600 Carlisle St
Hanover, PA 17331
Phone (717) 632-5558

600 Carlisle St
Ste 1
Hanover, PA 17331

2030 Thistle Hill Dr
Ste 207
Spring Grove, PA 17362
Phone (717) 739-8340

Practitioners & affiliated clinicians

Practitioners 6

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": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1487971768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CARLISLE ST STE A",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173315100",
            "telephone_number": "717-632-5558",
            "fax_number": "717-632-7493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CARLISLE ST STE A",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173315100",
            "telephone_number": "717-632-5558",
            "fax_number": "717-632-7493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMDLAD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "DIEHL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-632-5558",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "PA",
            "license": "60000001267",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Darrell M. Sipe Opticians Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DBA Darrell M. Sipe Opticians Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Darrell M. Sipe Opticians and Hearing Aids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hanover, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.