Individual provider Active NPI

Joseph Paul Rebman, OD

  • Optometrist
  • Elizabethtown, PA
National Provider Identifier
1558334870
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000512 Issued in PA
Practice address
282 Maytown Road
Ste 100
Elizabethtown, PA 17022-9313
Phone
(717) 367-8368
Fax
(717) 367-6266
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000512 PA Primary

Addresses

Primary practice location

282 Maytown Road
Ste 100
Elizabethtown, PA 17022-9313

Mailing address

282 Maytown Road
Ste 100
Elizabethtown, PA 17022-9313
Phone (717) 367-8368

Other identifiers 4

IdentifierTypeStateIssuer
02844900OtherPABLUE CROSS NUMBER
0852204OtherPAAETNA US HEALTHCARE
DD3234OtherPARAILROAD
P00221443OtherPARR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051026000952 PA Practitioner - Optometry 6800823063 Reassigns benefits to 1 organization
O20100930053300 PA DME Supplier - Physician - Optometrist 7315974573 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Elizabethtown, PA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rebman Eyecare, P.C.Group PAC ID 7315974573, 2 clinicians

Practice addresses (Care Compare)

282 Maytown Rd
Suite 100
Elizabethtown, PA 17022-9302
Phone (717) 367-7838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rebman Eyecare, P.C. Optometrist CurrentSince Feb 26, 1996 Accepting new patients

Locations

222 S Market St
Ste 105
Elizabethtown, PA 17022
Phone (717) 367-7838

282 Maytown Rd
Ste 100
Elizabethtown, PA 17022
Phone (717) 367-7838

Organizations & group practices 1

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334275200000",
    "number": "1558334870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 MAYTOWN ROAD",
            "address_2": "STE 100",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170229313",
            "telephone_number": "717-367-8368",
            "fax_number": "717-367-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 MAYTOWN ROAD",
            "address_2": "STE 100",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170229313",
            "telephone_number": "717-367-8368",
            "fax_number": "717-367-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBMAN",
        "first_name": "JOSEPH",
        "middle_name": "PAUL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2012-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NUMBER",
            "identifier": "02844900",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "0852204",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "DD3234",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00221443",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, PA

Sources for this page

Verify at the official NPI Registry.