Individual provider Active NPI

Emily J Hosack, O.D.

  • Optometrist
  • Erie, PA
National Provider Identifier
1619264686
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002485 Issued in PA
Practice address
560 Millcreek Mall
Erie, PA 16565-0502
Phone
(814) 868-8540
NPI assigned
Jun 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002485 PA Primary

Addresses

Primary practice location

560 Millcreek Mall
Erie, PA 16565-0502

Mailing address

560 Millcreek Mall
Erie, PA 16565-0502
Phone (814) 868-8540

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
I20110818000499 PA Practitioner - Optometry 1254501745 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

229 Main St W
Vision Associates of Erie County
Girard, PA 16417-1615
Phone (814) 774-2017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gem City Eye Care Inc Optometrist CurrentSince May 1, 2014 Accepting new patients
Emily Hosack, LLC Optometrist CurrentSince Dec 18, 2012 Accepting new patients
Andrew Prischak OD Optometrist PastSince Dec 18, 2012 Accepting new patients

Locations

2501 W 12th St
#200
Erie, PA 16505
Phone (814) 838-0550

2501 W 12th St
Ste 200
Erie, PA 16505
Phone (814) 838-0550

229 Main St W
Girard, PA 16417
Phone (814) 774-2017

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1619264686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 MILLCREEK MALL",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165650502",
            "telephone_number": "814-868-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 MILLCREEK MALL",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165650502",
            "telephone_number": "814-868-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSACK",
        "first_name": "EMILY",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.