Individual provider Active NPI

Christie Cardellino, O.D.

  • Optometrist
  • Johnstown, PA
National Provider Identifier
1619264454
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002500 Issued in PA
Practice address
2441 Bedford St
Johnstown, PA 15904-1440
Phone
(814) 254-4699
Fax
(814) 254-4285
NPI assigned
Jun 30, 2011
Last updated
Dec 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002500 PA Primary

Addresses

Primary practice location

2441 Bedford St
Johnstown, PA 15904-1440

Mailing address

132 Wyndemere Dr
Johnstown, PA 15904-3759

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110902000272 PA Practitioner - Optometry 6002086832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christie Cardellino OD LLCGroup PAC ID 6800119421, 3 clinicians

Practice addresses (Care Compare)

414 W High St
Cardellino Eyecare and Optical
Ebensburg, PA 15931-1584
Phone (814) 472-4240

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arlow Ophthalmology LLC CurrentSince Apr 1, 2022 Accepting new patients
Christie Cardellino, OD LLC Optometrist CurrentSince Jan 12, 2015 Accepting new patients

Locations

414 W High St
Ebensburg, PA 15931
Phone (724) 463-0286

1513 Scalp Ave
Ste 280
Johnstown, PA 15904
Phone (814) 266-7611

2441 Bedford St
Johnstown, PA 15904
Phone (814) 242-3334

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1619264454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 WYNDEMERE DR",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 BEDFORD ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159041440",
            "telephone_number": "814-254-4699",
            "fax_number": "814-254-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDELLINO",
        "first_name": "CHRISTIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.