Organization Active NPI

Simonton Icare LLC

  • Optometrist
  • Pittsburgh, PA
National Provider Identifier
1528488053
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000845 Issued in PA
Legal business name
SIMONTON ICARE LLC
Practice address
480 Shelbourne Dr
Pittsburgh, PA 15239-3614
Phone
(814) 322-7585
NPI assigned
Apr 23, 2014
Last updated
Apr 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Authorized official

Name
Dr. Jason Simonton, D.O.NPI 1205035953
Title
Owner
Phone
(814) 322-7585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000845 PA Primary

Addresses

Primary practice location

480 Shelbourne Dr
Pittsburgh, PA 15239-3614

Mailing address

480 Shelbourne Dr
Pittsburgh, PA 15239-3614
Phone (814) 322-7585

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1528488053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 SHELBOURNE DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152393614",
            "telephone_number": "814-322-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 SHELBOURNE DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152393614",
            "telephone_number": "814-322-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMONTON ICARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "SIMONTON",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-322-7585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.