Individual provider Active NPI

Pamela A Houghton, O.D.

  • Optometrist
  • Cranberry TWP, PA
National Provider Identifier
1568559136
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001300 Issued in PA
Practice address
20245 Route 19
Cranberry TWP, PA 16066-6101
Phone
(724) 772-4557
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001300 PA Primary

Addresses

Primary practice location

20245 Route 19
Cranberry TWP, PA 16066-6101

Mailing address

10522 Meinert Rd
Wexford, PA 15090-9564

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
I20090224000306 PA Practitioner - Optometry 2466517586 Reassigns benefits to 2 organizations
Practice locations: Cranberry Township, PA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Pennsylvania Professional IncGroup PAC ID 7719218593, 80 clinicians

Practice addresses (Care Compare)

187 Scharberry LN
Mars, PA 16046-2429
Phone (724) 591-5501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG001300PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Pennsylvania Professional, Inc Optometrist CurrentSince Dec 1, 2018 Accepting new patients
Aeg Pennsylvania Professional Inc Optometrist CurrentSince Mar 9, 2021 Accepting new patients
Aeg Pennsylvania Professional, Inc Optometrist CurrentSince Dec 1, 2018 Accepting new patients
Eyetique Corporation Optometrist PastSince Dec 15, 2019 Accepting new patients

Locations

187 Scharberry Ln
Mars, PA 16046
Phone (724) 591-5501

535 Adams Shoppes
#3
Mars, PA 16046
Phone (724) 591-8515

4835 Lyndon B Johnson Fwy
Ste 850
Dallas, TX 75244

Organizations & group practices 4

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568559136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10522 MEINERT RD",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20245 ROUTE 19",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666101",
            "telephone_number": "724-772-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUGHTON",
        "first_name": "PAMELA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry TWP, PA

Sources for this page

Verify at the official NPI Registry.