Active NPI
Barry S Zelesnick, O.D.
- Corneal and Contact Management Optometrist
- Hanover, PA
National Provider Identifier
1619976727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- OEG000159
- Practice address
- 120 N Stephen PL
Hanover, PA 17331-1937 - Phone
- (717) 632-7727
- Fax
- (717) 632-8745
- NPI assigned
- Jul 20, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | OEG000159 | PA | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | TA0619 | MD |
Addresses
Primary practice location
120 N Stephen PL
Hanover, PA 17331-1937
Mailing address
120 N Stephen PL
Hanover, PA 17331-1937
Phone (717) 632-7727
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 234652 | Other | PA | KEYSTONE |
| XY27 | Other | MD | CAREFIRST BC/BS |
| 0000044146 | Other | PA | INDEPENDENCE BLUE CROSS |
| 50004206 | Other | PA | CAPITAL BLUE CROSS |
| 77478 | Other | PA | HEALTH AMERICA |
| 4490T | Other | PA | VSP/VBA |
| 410036502 | Other | PA | RAILROAD |
| 044146 | Other | PA | HIGHMARK BLUE SHIELD |
| 284539 | Other | PA | MAMSI/ALLIANCE |
| 504169 | Other | PA | AETNA/US HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA0619 | MD | MD | Corneal and Contact Management Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278633600000",
"number": "1619976727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 N STEPHEN PL",
"city": "HANOVER",
"state": "PA",
"postal_code": "173311937",
"telephone_number": "717-632-7727",
"fax_number": "717-632-8745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 N STEPHEN PL",
"city": "HANOVER",
"state": "PA",
"postal_code": "173311937",
"telephone_number": "717-632-7727",
"fax_number": "717-632-8745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZELESNICK",
"first_name": "BARRY",
"middle_name": "S",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2010-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "PA",
"license": "OEG000159",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "MD",
"license": "TA0619",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "234652",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BC/BS",
"identifier": "XY27",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "0000044146",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50004206",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "77478",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VSP/VBA",
"identifier": "4490T",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "410036502",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "044146",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI/ALLIANCE",
"identifier": "284539",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/US HEALTHCARE",
"identifier": "504169",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hanover, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.