Individual provider Active NPI

Michael Edward Szoko, O.D.

  • Optometrist
  • Turtle Creek, PA
National Provider Identifier
1548258577
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OE-G000533 Issued in PA
Practice address
700 Beulah Rd
Turtle Creek, PA 15145-1101
Phone
(412) 824-1510
Fax
(412) 824-7707
NPI assigned
Oct 13, 2005
Last updated
Aug 13, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OE-G000533 PA Primary

Addresses

Primary practice location

700 Beulah Rd
Turtle Creek, PA 15145-1101

Mailing address

700 Beulah Rd
Turtle Creek, PA 15145-1101
Phone (412) 824-1510

Other identifiers 4

IdentifierTypeStateIssuer
01728612MedicaidPA
SZ071962OtherPAHIGHMARK BC/BS
308545OtherPAUPMC
507629OtherPAAETNA

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
I20120105000075 PA Practitioner - Optometry 6507032091 Practice locations: Turtle Creek, PA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

700 Beulah Rd
Turtle Creek, PA 15145-1101
Phone (412) 824-1510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1548258577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 BEULAH RD",
            "city": "TURTLE CREEK",
            "state": "PA",
            "postal_code": "151451101",
            "telephone_number": "412-824-1510",
            "fax_number": "412-824-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 BEULAH RD",
            "city": "TURTLE CREEK",
            "state": "PA",
            "postal_code": "151451101",
            "telephone_number": "412-824-1510",
            "fax_number": "412-824-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZOKO",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE-G000533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01728612",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS",
            "identifier": "SZ071962",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "308545",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "507629",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Turtle Creek, PA

Sources for this page

Verify at the official NPI Registry.