Richard James Pinelli, OD

Primary specialty

Sports Vision OptometristTaxonomy code 152WS0006X

License

0EG000702 Issued in PA

Practice address

23428 Route 35 N
Mifflintown, PA 17059-7916

Phone

(717) 436-8806

NPI assigned

Sep 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1619077195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23428 ROUTE 35 N",
            "city": "MIFFLINTOWN",
            "state": "PA",
            "postal_code": "170597916",
            "telephone_number": "717-436-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23428 ROUTE 35 N",
            "city": "MIFFLINTOWN",
            "state": "PA",
            "postal_code": "170597916",
            "telephone_number": "717-436-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINELLI",
        "first_name": "RICHARD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "PA",
            "license": "0EG000702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "562783",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oluwabukola Patience Oluwalade, M.D
• Madona Pakkam
• Kyle Matthew Pannebaker, DMD
• Karen R Peachey
• Phoenix Rehabilitation and Health Services, Inc.
• Brendon Isaac Ian Polson
• Heather Sue Pyle, PA-C
• Lilli Josephine Reed, COTA/L
• Meri Andrea Richardson, LSW
• Nathan Rosahac

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.