Pediatric Ophthalmology of Erie, Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

PEDIATRIC OPHTHALMOLOGY OF ERIE, INC

Practice address

128 W 12TH St
Suite 301
Erie, PA 16501

Phone

(814) 454-6307

Fax

(814) 454-6397

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas A Sala, D.O.NPI 1841281714

Title

President

Phone

(814) 454-6307

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wesley D. Cox, O.D.

  • Optometrist
  • Pittsburgh, PA
  • NPI 1700309556
  Medicare reassignment NPD
• Nicholas Sala

  • Ophthalmology Physician
  • Erie, PA
  • NPI 1841281714
  NPD Authorized official

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526860800000",
    "number": "1629127683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 W 12TH ST",
            "address_2": "SUITE 301",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011750",
            "telephone_number": "814-454-6307",
            "fax_number": "814-454-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 W 12TH ST",
            "address_2": "SUITE 301",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16501",
            "telephone_number": "814-454-6307",
            "fax_number": "814-454-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC OPHTHALMOLOGY OF ERIE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2018-05-21",
        "status": "A",
        "authorized_official_last_name": "SALA",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-454-6307",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatria Healthcare, LLC (Aveanna Healthcare)
• Pediatric Cardiology of Erie
• Pediatric Care Center of Erie, PC
• Pediatric Dentistry of Erie LLC
• Pediatric Dermatology Associates of Erie LLC
• Pediatric Orthotic and Prosthetic Services - Northeast, LLC
• Roshell L Peeso, PHARMD
• Alison Marie Mallory Pehl, DO
• Madeline Grace Pelc, MS, NCC, LPC, CCTP
• Tricia Lee Pelc, LPC, NCC

• Ophthalmology Physician in Erie, PA
• Providers in Erie, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.