Reppert Eye Care PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

REPPERT EYE CARE PLLC

Practice address

2600 Willow Street Pike N Ste 310
Willow Street, PA 17584-9386

Phone

(717) 500-2962

Fax

(717) 459-7457

NPI assigned

Jun 14, 2021

Organization subpart

No

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

Authorized official

Name

Tyler Reppert, ODNPI 1215486121

Title

Owner/Optometrist

Phone

(717) 725-7673

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

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

• Tyler Reppert, O.D.

  • Optometrist
  • Willow Street, PA
  • NPI 1215486121
  Medicare reassignment Authorized official
• Stanley D. Skolnick, O.D

  • Optometrist
  • Lancaster, PA
  • NPI 1285786517
  NPD (past)

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1508434713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2554 CAMAS LN",
            "city": "EAST PETERSBURG",
            "state": "PA",
            "postal_code": "175201436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 WILLOW STREET PIKE N STE 310",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "175849386",
            "telephone_number": "717-500-2962",
            "fax_number": "717-459-7457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REPPERT EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "REPPERT",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "717-725-7673",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca L Poole, CRNP
• Sonja Powers, DC
• Robert S Pratt, MD
• Prime Opticals LLC
• Reason and Breath, LLC Dba Status Therapy, LLC
• Tyler Reppert, O.D.
• Meek Rineer, BS, CFRS, AAC, CTP
• Ivelisse Rodriguez
• Dena Rene Roye
• Lynnette G Ruch, PHD

• Optometrist in Willow Street, PA
• Providers in Willow Street, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.