Active NPI
Joseph Paul Rebman, OD
- Optometrist
- Elizabethtown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000512
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02844900 | Other | PA | BLUE CROSS NUMBER |
| 0852204 | Other | PA | AETNA US HEALTHCARE |
| DD3234 | Other | PA | RAILROAD |
| P00221443 | Other | PA | RR MEDICARE |
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
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rebman Eyecare, P.C. | Optometrist | Current | 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.
-
- Optometrist
- Elizabethtown, PA
- NPI 1194818971
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.