NPIMap

Organization Active NPI

Monroe Vision and Hearing Center, Inc.

  • Optometrist
  • Stroudsburg, PA
National Provider Identifier
1497821235
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000650 Issued in PA
Legal business name
MONROE VISION AND HEARING CENTER, INC.
Practice address
1036 North Ninth St
Stroudsburg, PA 18360
Phone
(570) 421-2680
Fax
(570) 421-2713
NPI assigned
Nov 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Authorized official

Name
Dr. Stephen Rudnick, OD
Title
Optometrist
Phone
(570) 421-2680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG000650 PA Primary

Addresses

Primary practice location

1036 North Ninth St
Stroudsburg, PA 18360

Mailing address

1036 N 9TH St
Stroudsburg, PA 18360-1210
Phone (570) 421-2680

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050421000863 PA Part B Supplier - Clinic/Group Practice 6901844778 Receives reassigned benefits from 4 practitioners
Practice locations: Stroudsburg, PA

National Provider Directory

National Provider Directory

Locations

1036 N 9th St
Ste 2
Stroudsburg, PA 18360

Practitioners & affiliated clinicians

Practitioners 10

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": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1497821235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 N 9TH ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601210",
            "telephone_number": "570-421-2680",
            "fax_number": "570-421-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 NORTH NINTH ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "18360",
            "telephone_number": "570-421-2680",
            "fax_number": "570-421-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE VISION AND HEARING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "RUDNICK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "570-421-2680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.