Joseph Kasyan
Individual provider Active NPI Optician · New Eagle, PA
NPI 1629434857 · NPPES record last updated Jan 4, 2016
Key facts
- NPI
- 1629434857
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optician 156FX1800X
- Practice address
- 120 Main St
New Eagle, PA 15067-1151 - Phone
- (724) 258-3773
- Fax
- (724) 258-4805
- NPI assigned
- Jan 4, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Judith a Wentzel | Optician | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Yes |
Addresses
Primary practice location
120 Main St
New Eagle, PA 15067-1151
Mailing address
820 Fredericka Dr
Bethel Park, PA 15102-3737
Phone (412) 736-7173
Other providers in New Eagle, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.