Organization Active NPI

Lower Burrell Fashion Optical, Inc.

Doing business as fashion optical

  • Optometrist
  • Lower Burrell, PA
National Provider Identifier
1649269374
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001916 Issued in PA
Legal business name
LOWER BURRELL FASHION OPTICAL, INC.
Doing business as
fashion optical
Practice address
245 Hillcrest PLZ
Lower Burrell, PA 15068-3506
Phone
(724) 339-4595
Fax
(724) 339-0257
NPI assigned
Oct 15, 2005
Last updated
Jul 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
Mr. Darcy Caliguri
Title
President/Optician
Phone
(724) 339-4595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG001916 PA Primary

Addresses

Primary practice location

245 Hillcrest PLZ
Lower Burrell, PA 15068-3506

Mailing address

245 Hillcrest PLZ
Lower Burrell, PA 15068-3506
Phone (724) 339-4595

Other identifiers 1

IdentifierTypeStateIssuer
07647057MedicaidPA

Other names 1

  • fashion optical Doing business as

National Provider Directory

National Provider Directory

Locations

245 Hillcrest Plz
Lower Burrell, PA 15068
Phone (724) 339-4595

NPI Registry JSON

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

{
    "created_epoch": "1129334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1649269374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 HILLCREST PLZ",
            "city": "LOWER BURRELL",
            "state": "PA",
            "postal_code": "150683506",
            "telephone_number": "724-339-4595",
            "fax_number": "724-339-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 HILLCREST PLZ",
            "city": "LOWER BURRELL",
            "state": "PA",
            "postal_code": "150683506",
            "telephone_number": "724-339-4595",
            "fax_number": "724-339-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWER BURRELL FASHION OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-15",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "CALIGURI",
        "authorized_official_first_name": "DARCY",
        "authorized_official_title_or_position": "PRESIDENT/OPTICIAN",
        "authorized_official_telephone_number": "724-339-4595",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07647057",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "fashion optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lower Burrell, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.