Jeannette E. Drahuschak

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

6000000009 Issued in PA

Legal business name

JEANNETTE E. DRAHUSCHAK

Doing business as

Grove City Optical

Practice address

808 W Main St
Grove City, PA 16127-1114

Phone

(724) 458-8533

Fax

(724) 458-0911

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Jeannette E Drahuschak, OPTICIAN

Title

Owner

Phone

(724) 458-8533

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Grove City Optical Doing business as

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1619005782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 W MAIN ST",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161271114",
            "telephone_number": "724-458-8533",
            "fax_number": "724-458-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 W MAIN ST",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161271114",
            "telephone_number": "724-458-8533",
            "fax_number": "724-458-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNETTE E. DRAHUSCHAK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "DRAHUSCHAK",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-458-8533",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "PA",
            "license": "6000000009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014304750001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "GR285062",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "0779630001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grove City Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Irons-Bennett
• Kelly Lynn Irvine, MS OTRL
• Andrea Jackson, PA-C
• Robert A. Jancart, M.D.
• Saad Javed, M.D.
• Laura Louise Jestes, DPT
• Amanda Johns, PHARM.D.
• Amanda Irene Johnson, DPM
• Heather Karenbauer
• Clinton P Kassi, PHARMD

• Public Health or Welfare Agency in Grove City, PA
• Providers in Grove City, PA by specialty
• Public Health or Welfare Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.