Organization Active NPI

The Eyeglass Shoppe, Inc.

  • Optometrist
  • Somerset, PA
National Provider Identifier
1497051163
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001664 Issued in PA
Legal business name
THE EYEGLASS SHOPPE, INC.
Practice address
121 S Center Ave
Somerset, PA 15501-2031
Phone
(814) 445-4495
Fax
(814) 445-6432
NPI assigned
Jan 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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

Authorized official

Name
Dr. Michael John Brownfield, OD
Title
Owner/Optometrist
Phone
(814) 445-4495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG001664 PA Primary

Addresses

Primary practice location

121 S Center Ave
Somerset, PA 15501-2031

Mailing address

121 S Center Ave
Somerset, PA 15501-2031
Phone (814) 445-4495

Other names 1

  • Somerset Family Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

133 W Union St
Somerset, PA 15501
Phone (814) 445-4495

NPI Registry JSON

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548028800000",
    "number": "1497051163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S CENTER AVE",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012031",
            "telephone_number": "814-445-4495",
            "fax_number": "814-445-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S CENTER AVE",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012031",
            "telephone_number": "814-445-4495",
            "fax_number": "814-445-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYEGLASS SHOPPE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-28",
        "last_updated": "2019-01-21",
        "status": "A",
        "authorized_official_last_name": "BROWNFIELD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "814-445-4495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Somerset Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerset, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; 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.