Organization Active NPI

Anthony S. Diecidue, P.C.

Doing business as Austin Eye Associates

  • Corneal and Contact Management Optometrist
  • Peckville, PA
National Provider Identifier
1629762067
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
Legal business name
ANTHONY S. DIECIDUE, P.C.
Doing business as
Austin Eye Associates
Practice address
1421 Main St
Peckville, PA 18452-2008
Phone
(570) 382-3922
NPI assigned
Jun 7, 2023
Last updated
Jun 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Authorized official

Name
John Joseph GlasnerNPI 1487817896
Title
Owner
Phone
(570) 476-1114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU
Corneal and Contact Management Optometrist 152WC0802X NU Primary

Addresses

Primary practice location

1421 Main St
Peckville, PA 18452-2008

Mailing address

1421 Main St
Peckville, PA 18452-2008
Phone (570) 382-3922

Other names 1

  • Austin Eye Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Anthony S Diecidue PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1629762067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 MAIN ST",
            "city": "PECKVILLE",
            "state": "PA",
            "postal_code": "184522008",
            "telephone_number": "570-382-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 MAIN ST",
            "city": "PECKVILLE",
            "state": "PA",
            "postal_code": "184522008",
            "telephone_number": "570-382-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY S. DIECIDUE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "GLASNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-476-1114"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Austin Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peckville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.