Organization Active NPI

Vision Resources of Central Pennsylvania

  • Voluntary or Charitable Agency
  • Harrisburg, PA
National Provider Identifier
1497947279
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
VISION RESOURCES OF CENTRAL PENNSYLVANIA
Practice address
1130 S 19TH St
Harrisburg, PA 17104-2912
Phone
(717) 238-2531
Fax
(717) 238-0710
NPI assigned
Aug 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Danette Blank
Title
Executive Director
Phone
(717) 238-2531

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

1130 S 19TH St
Harrisburg, PA 17104-2912

Mailing address

1130 S 19TH St
Harrisburg, PA 17104-2912
Phone (717) 238-2531

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080414000321 PA Part B Supplier - Clinic/Group Practice 6103903240 Receives reassigned benefits from 3 practitioners
Practice locations: Harrisburg, PA

National Provider Directory

National Provider Directory

Locations

1800 N 2nd St
Harrisburg, PA 17102
Phone (717) 238-2531

1130 S 19th St
Harrisburg, PA 17104
Phone (717) 238-2531

Practitioners & affiliated clinicians

Practitioners 3

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": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1497947279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 S 19TH ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171042912",
            "telephone_number": "717-238-2531",
            "fax_number": "717-238-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 S 19TH ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171042912",
            "telephone_number": "717-238-2531",
            "fax_number": "717-238-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION RESOURCES OF CENTRAL PENNSYLVANIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "BLANK",
        "authorized_official_first_name": "DANETTE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "717-238-2531"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.