Active NPI
Community Eye Care Specialists, P.C.
- Ophthalmology Physician
- Warren, PA
National Provider Identifier
1528114311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- COMMUNITY EYE CARE SPECIALISTS, P.C.
- Practice address
- 2 Farm Colony Drive
Warren, PA 16365-5206 - Phone
- (814) 726-2303
- Fax
- (404) 305-3199
- NPI assigned
- Jan 26, 2007
- Last updated
- Dec 3, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Candice B Davis
- Title
- Chief Revenue Cycle Officer
- Phone
- (916) 990-7590
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Ophthalmic Technician/Technologist | 156FX1100X | MD052930L | PA | |
| Ophthalmic Technician/Technologist | 156FX1100X | MD065707L | PA | |
| Administrator Registered Nurse | 163WA2000X | |||
| General Practice Registered Nurse | 163WG0000X | |||
| Ophthalmic Registered Nurse | 163WX1100X | |||
| Ophthalmology Physician | 207W00000X | Primary | ||
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X |
Addresses
Primary practice location
2 Farm Colony Drive
Warren, PA 16365-5206
Mailing address
2 Farm Colony Drive
Warren, PA 16365-5206
Phone (814) 726-2303
Other practice location 1
1136 Central Ave
Dunkirk, NY 14048-3423
Phone (716) 484-6700
Other practice location 2
2605 W State St
Olean, NY 14760-1824
Phone (716) 484-6700
Other practice location 3
2A Park Way
Seneca, PA 16346-2413
Phone (716) 484-6700
Other practice location 4
462 Fairmount Ave
Jamestown, NY 14701-2721
Phone (716) 484-6700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548234255 | Other | PA | WUEBBOLT NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040309000492 | PA | Part B Supplier - Clinic/Group Practice | 8527956788 |
Receives reassigned benefits from 12 practitioners Practice locations: Seneca, PA; Warren, PA; Bradford, PA |
| O20040309000514 | NY | Part B Supplier - Clinic/Group Practice | 8527956788 |
Receives reassigned benefits from 8 practitioners Practice locations: Dunkirk, NY; Jamestown, NY; Olean, NY |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Gateway Ophthalmology
- Ophthalmology Physician
- Jamestown, NY
- NPI 1659187177
8527956788
National Provider Directory
National Provider DirectoryLocations
110 E Columbus Ave
Corry, PA 16407
Phone (814) 459-2580
3744 State Route 257
#3974
Seneca, PA 16346
Interoperability endpoints
- avyas@cecs.intellechartdirect.net
- bgutsin@cecs.intellechartdirect.net
- cwindoft@cecs.intellechartdirect.net
- tobrien@cecs.intellechartdirect.net
Practitioners & affiliated clinicians
Practitioners 25
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Seneca, PA
- NPI 1881348274
-
- Optometrist
- Irving, NY
- NPI 1174212799
-
- Certified Registered Nurse Anesthetist
- Kane, PA
- NPI 1902870504
-
- Certified Registered Nurse Anesthetist
- Beaver, PA
- NPI 1235588641
-
- Certified Registered Nurse Anesthetist
- Warren, PA
- NPI 1841638038
-
- Certified Registered Nurse Anesthetist
- Warren, PA
- NPI 1083038319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733184000000",
"number": "1528114311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 FARM COLONY DRIVE",
"city": "WARREN",
"state": "PA",
"postal_code": "163655206",
"telephone_number": "814-726-2303",
"fax_number": "814-726-7459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 FARM COLONY DRIVE",
"city": "WARREN",
"state": "PA",
"postal_code": "163655206",
"telephone_number": "814-726-2303",
"fax_number": "404-305-3199"
}
],
"practiceLocations": [
{
"address_1": "1136 Central Ave",
"address_purpose": "LOCATION",
"city": "Dunkirk",
"state": "NY",
"postal_code": "140483423",
"country_code": "US",
"telephone_number": "716-484-6700",
"fax_number": "716-487-0166",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2605 W State St",
"address_purpose": "LOCATION",
"city": "Olean",
"state": "NY",
"postal_code": "147601824",
"country_code": "US",
"telephone_number": "716-484-6700",
"fax_number": "716-487-0166",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2A Park Way",
"address_purpose": "LOCATION",
"city": "Seneca",
"state": "PA",
"postal_code": "163462413",
"country_code": "US",
"telephone_number": "716-484-6700",
"fax_number": "716-487-0166",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "462 Fairmount Ave",
"address_purpose": "LOCATION",
"city": "Jamestown",
"state": "NY",
"postal_code": "147012721",
"country_code": "US",
"telephone_number": "716-484-6700",
"fax_number": "716-484-6700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "COMMUNITY EYE CARE SPECIALISTS, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-26",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "CANDICE",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "CHIEF REVENUE CYCLE OFFICER",
"authorized_official_telephone_number": "916-990-7590"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "156FX1100X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Ophthalmic",
"state": "PA",
"license": "MD052930L",
"primary": false
},
{
"code": "156FX1100X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Ophthalmic",
"state": "PA",
"license": "MD065707L",
"primary": false
},
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WX1100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ophthalmic",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WUEBBOLT NPI",
"identifier": "1548234255",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warren, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.