Active NPI
Eye Care Specialists, P.C.
- Ophthalmology Physician
- West Pittston, PA
National Provider Identifier
1538213905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- EYE CARE SPECIALISTS, P.C.
- Practice address
- 170 Boston Ave
West Pittston, PA 18643-2724 - Phone
- (570) 602-1010
- Fax
- (570) 602-1222
- NPI assigned
- Jan 23, 2007
- Last updated
- Jun 3, 2016
- 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
- Erik F Kruger, M.D.
- Title
- President
- Phone
- (570) 288-7405
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | NU | Primary |
Addresses
Primary practice location
170 Boston Ave
West Pittston, PA 18643-2724
Mailing address
703 Rutter Ave
Kingston, PA 18704-4801
Phone (570) 288-7405
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010897540025 | Medicaid | PA |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Ophthalmology Physician
- Kingston, PA
- NPI 1104886332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464912000000",
"number": "1538213905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 RUTTER AVE",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187044801",
"telephone_number": "570-288-7405",
"fax_number": "570-288-7406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 BOSTON AVE",
"city": "WEST PITTSTON",
"state": "PA",
"postal_code": "186432724",
"telephone_number": "570-602-1010",
"fax_number": "570-602-1222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE CARE SPECIALISTS, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2016-06-03",
"status": "A",
"authorized_official_last_name": "KRUGER",
"authorized_official_first_name": "ERIK",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "570-288-7405",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010897540025",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Pittston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.