Alyssa Danielle Conjack, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2085DT Issued in KY

Practice address

300 State St
Erie, PA 16507-1427

Phone

(144) 540-6048

NPI assigned

Apr 17, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bayfront Eyecare, P.C.Group PAC ID 4284717158, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bayfront Eyecare, P.C.

  • Optometrist
  • Erie, PA
  • NPI 1659556066
  Medicare reassignment Care Compare group NPD
• Robert Ricart OD and Associates

  • Optometrist
  • Erie, PA
  • NPI 1235178211
  NPD (past)

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1598299661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CONN TER STE 550",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405083206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071427",
            "telephone_number": "144-540-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONJACK",
        "first_name": "ALYSSA",
        "middle_name": "DANIELLE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-17",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2085DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mikayla Conant
• Lisa L Cone, CNM
• Laura L Conley, PT
• Brady Kenneth Conn
• Linda C Connell, LSW
• Conrad House Inc
• Consigliere Counseling Group LLC

• Optometrist in Erie, PA
• Providers in Erie, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.

Verify at the official NPI Registry.