Individual provider Active NPI

Marion J Haligowski III, OD

  • Optometrist
  • Lebanon, PA
National Provider Identifier
1508978941
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG-001196 Issued in PA
Practice address
770 Norman Dr
Lebanon, PA 17042-7495
Phone
(717) 272-2161
Fax
(717) 270-0301
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG-001196 PA Primary

Addresses

Primary practice location

770 Norman Dr
Lebanon, PA 17042-7495

Mailing address

1 Granite Point Dr Ste 100
Wyomissing, PA 19610-1992
Phone (610) 378-1344

Other practice location 1

1 Granite Point Dr Ste 100
Wyomissing, PA 19610-1992
Phone (610) 378-1344

Other identifiers 1

IdentifierTypeStateIssuer
100888525MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040202000253 PA Practitioner - Optometry 1951204320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Consultants of Pennsylvania PCGroup PAC ID 9537142088, 25 clinicians

Practice addresses (Care Compare)

1 Granite Point Dr
Suite 100
Wyomissing, PA 19610-1992
Phone (610) 378-1344

Merit-based Incentive Payment System (MIPS)

Final score
86.41 of 100Reported as group
Quality
91.46
Promoting interoperability
90
Improvement activities
40
Cost
71.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1508AZMDPsychologist
OEG-001196PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Consultants of Pennsylvania, PC Optometrist CurrentSince Jul 11, 2018 Accepting new patients
Dr. Philip J. Schwartz, Optometrist, P.C. Optometrist Past Accepting new patients
Eye Consultants of Pennsylvania, PC Optometrist PastSince Oct 4, 2020 Accepting new patients
Tom Sowash OD & Associates PC Optometrist Past Accepting new patients
Visionworks Inc Past Accepting new patients
Eye Consultants of Pennsylvania, PC Optometrist PastSince Jun 25, 2023 Accepting new patients

Locations

219 E Wesner Rd
Blandon, PA 19510
Phone (610) 926-4241

770 Norman Dr
Lebanon, PA 17042
Phone (717) 272-2161

293 Armand Hammer Blvd
Pottstown, PA 19464
Phone (610) 327-8528

1494 Route 61 Hwy S
Ste 100
Pottsville, PA 17901
Phone (570) 621-5690

1 Granite Point Dr
Ste 100
Wyomissing, PA 19610
Phone (610) 378-1344

Interoperability endpoints

  • Direct secure messaging: marion.haligowski.p1@direct.ecop.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1508978941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GRANITE POINT DR STE 100",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101992",
            "telephone_number": "610-378-1344",
            "fax_number": "610-378-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 NORMAN DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427495",
            "telephone_number": "717-272-2161",
            "fax_number": "717-270-0301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Granite Point Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Wyomissing",
            "state": "PA",
            "postal_code": "196101992",
            "country_code": "US",
            "telephone_number": "610-378-1344",
            "fax_number": "610-378-5169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALIGOWSKI",
        "first_name": "MARION",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG-001196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100888525",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.