Individual provider Active NPI

Mary Drummond-Eck, O.D.

  • Optometrist
  • Bangor, PA
National Provider Identifier
1649239526
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OET009092 Issued in PA
Practice address
327 Blue Valley Dr
Bangor, PA 18013-1526
Phone
(610) 599-6220
Fax
(610) 599-6218
NPI assigned
Mar 21, 2006
Last updated
Aug 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OET009092 PA Primary

Addresses

Primary practice location

327 Blue Valley Dr
Bangor, PA 18013-1526

Mailing address

401 Main St
Stockertown, PA 18083-7004
Phone (610) 599-6220

Other identifiers 5

IdentifierTypeStateIssuer
410042667OtherPARAILROAD MEDICARE
2127593OtherPAAETNA
1880117MedicaidPA
50000937OtherPACAPITAL BLUE CROSS
653848OtherPWHIGHMARK BLUE SHIELD

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
I20050617000452 PA Practitioner - Optometry 2668416892 Practice locations: Stockertown, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OET009092PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gabrielle Schoeppner MD Past Accepting new patients
Gabrielle Schoeppner MD and Associates, LLC Past Accepting new patients
Finegan Eye Associates PA Past Accepting new patients

Organizations & group practices 3

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": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1649239526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MAIN ST",
            "city": "STOCKERTOWN",
            "state": "PA",
            "postal_code": "180837004",
            "telephone_number": "610-599-6220",
            "fax_number": "610-599-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 BLUE VALLEY DR",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180131526",
            "telephone_number": "610-599-6220",
            "fax_number": "610-599-6218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUMMOND-ECK",
        "first_name": "MARY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OET009092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410042667",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2127593",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1880117",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50000937",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "653848",
            "state": "PW"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, PA

Sources for this page

Verify at the official NPI Registry.