Individual provider Active NPI

Dustin Kristofer Tressler, O.D.

  • Optometrist
  • Lemont Furnace, PA
National Provider Identifier
1619281193
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002371 Issued in PA
Practice address
1359 Connellsville Rd
Ste 18
Lemont Furnace, PA 15456-1076
Phone
(724) 438-5120
Fax
(724) 438-5142
NPI assigned
Jul 27, 2010
Last updated
Apr 25, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002371 PA Primary

Addresses

Primary practice location

1359 Connellsville Rd
Ste 18
Lemont Furnace, PA 15456-1076

Mailing address

1359 Connellsville Rd
Ste 18
Lemont Furnace, PA 15456-1076
Phone (724) 438-5120

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
I20110120000588 PA Practitioner - Optometry 8527247766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1359 Connellsville Rd
Suite 18
Lemont Furnace, PA 15456-1017
Phone (724) 438-5120

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Your Choice Optical, Inc. Optometrist CurrentSince Sep 11, 2012 Accepting new patients
Judith a Wentzel Past Accepting new patients

Locations

1359 Connellsville Rd
Ste 18
Lemont Furnace, PA 15456
Phone (724) 438-5120

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": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1619281193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1359 CONNELLSVILLE RD",
            "address_2": "STE 18",
            "city": "LEMONT FURNACE",
            "state": "PA",
            "postal_code": "154561076",
            "telephone_number": "724-438-5120",
            "fax_number": "724-438-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1359 CONNELLSVILLE RD",
            "address_2": "STE 18",
            "city": "LEMONT FURNACE",
            "state": "PA",
            "postal_code": "154561076",
            "telephone_number": "724-438-5120",
            "fax_number": "724-438-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRESSLER",
        "first_name": "DUSTIN",
        "middle_name": "KRISTOFER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-27",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemont Furnace, PA

Sources for this page

Verify at the official NPI Registry.