Organization Active NPI

Sarver Eye Clinic PC

  • Optometrist
  • Sarver, PA
National Provider Identifier
1588950778
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SARVER EYE CLINIC PC
Practice address
135 Mulone Dr
Sarver, PA 16055-8409
Phone
(724) 540-1771
NPI assigned
Jun 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Authorized official

Name
Kelly M Donlan, ODNPI 1245275197
Title
President/Owner
Phone
(724) 540-1771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

135 Mulone Dr
Sarver, PA 16055-8409

Mailing address

135 Mulone Dr
Sarver, PA 16055-8409
Phone (724) 540-1771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110922000107 PA Part B Supplier - Clinic/Group Practice 0345411476 Receives reassigned benefits from 1 practitioner
Practice locations: Sarver, PA

National Provider Directory

National Provider Directory

Locations

135 Mulone Dr
Sarver, PA 16055
Phone (412) 996-4543

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1588950778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 MULONE DR",
            "city": "SARVER",
            "state": "PA",
            "postal_code": "160558409",
            "telephone_number": "724-540-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 MULONE DR",
            "city": "SARVER",
            "state": "PA",
            "postal_code": "160558409",
            "telephone_number": "724-540-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARVER EYE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-26",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "DONLAN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "724-540-1771",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarver, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.