Active NPI
Mary F Gansarski, O.D.
- Optometrist
- Altoona, PA
National Provider Identifier
1598862294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OET-008941
- Practice address
- 2600 Old Route 220 N
Altoona, PA 16601-9328 - Phone
- (814) 944-9888
- Fax
- (814) 949-8993
- NPI assigned
- Sep 17, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | OET-008941 | PA | Primary |
Addresses
Primary practice location
2600 Old Route 220 N
Altoona, PA 16601-9328
Mailing address
128 Layton LN
Johnstown, PA 15904-4018
Phone (814) 269-2157
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0070878370002 | Medicaid | PA |
Other names 1
- Mrs. Mary F. Gansarski-Way
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OET-008941 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyeway6 | Optometrist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Johnstown, PA
- NPI 1821603028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598862294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 LAYTON LN",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159044018",
"telephone_number": "814-269-2157",
"fax_number": "814-949-8993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 OLD ROUTE 220 N",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166019328",
"telephone_number": "814-944-9888",
"fax_number": "814-949-8993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANSARSKI",
"first_name": "MARY",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OET-008941",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0070878370002",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "GANSARSKI-WAY",
"middle_name": "F.",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Altoona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.