Eyedoc Associates, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD050928L Issued in PA

Legal business name

EYEDOC ASSOCIATES, LLC

Practice address

501 Howard Ave Ste F3
Altoona, PA 16601-4818

Phone

(814) 943-7777

Fax

(814) 941-2015

NPI assigned

Feb 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Ufuk Fusun Cardakli, M.D.NPI 1609849132

Title

President/Physician

Phone

(814) 943-7777

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• EyeDoc Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

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

• Ufuk Fusun Cardakli, M.D.

  • Ophthalmology Physician
  • Altoona, PA
  • NPI 1609849132
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1609016302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 HOWARD AVE STE F3",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014818",
            "telephone_number": "814-943-7777",
            "fax_number": "814-941-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 HOWARD AVE STE F3",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014818",
            "telephone_number": "814-943-7777",
            "fax_number": "814-941-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEDOC ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "CARDAKLI",
        "authorized_official_first_name": "UFUK",
        "authorized_official_middle_name": "FUSUN",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "814-943-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD050928L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "148237",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022836600001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EyeDoc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Johnna Rose Estep
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• Jill Evans
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• Family Services Incorporated
• Megan Fanella
• Bethany J Farabaugh, LSW

• Ophthalmology Physician in Altoona, PA
• Providers in Altoona, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.