Individual provider Active NPI

Abigail Christine Gillogly Harsch, O.D.

  • Corneal and Contact Management Optometrist
  • Tahlequah, OK
National Provider Identifier
1649655549
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
2850 Issued in OK
Practice address
1001 N Grand Ave
Northeastern State University Oklahoma College of Optom
Tahlequah, OK 74464-7017
Phone
(918) 444-4031
NPI assigned
Jul 21, 2015
Last updated
Jul 21, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 2850 OK Primary

Addresses

Primary practice location

1001 N Grand Ave
Northeastern State University Oklahoma College of Optom
Tahlequah, OK 74464-7017

Mailing address

607 W Delaware St
Tahlequah, OK 74464-3615
Phone (605) 929-4528

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
I20170320001048 PA Practitioner - Optometry 0941516975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nittany Eye Associates LTDGroup PAC ID 4688740855, 11 clinicians

Practice addresses (Care Compare)

428 Windmere Dr
Suite 100
State College, PA 16801-7644
Phone (814) 234-2015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2850OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nittany Eye Associates LTD Corneal and Contact Management CurrentSince Jan 7, 2017 Accepting new patients

Locations

947 Bellefonte Ave
Lock Haven, PA 17745
Phone (570) 748-7751

132 Abigail Ln
Port Matilda, PA 16870
Phone (814) 272-5011

428 Windmere Dr
Ste 100
State College, PA 16801
Phone (814) 234-2015

154 Hospital Dr
Ste 6
Tyrone, PA 16686
Phone (814) 684-5306

Interoperability endpoints

  • Direct secure messaging: aharsch@direct.revolutionehr.com

Organizations & group practices 1

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": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1649655549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 W DELAWARE ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744643615",
            "telephone_number": "605-929-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N GRAND AVE",
            "address_2": "NORTHEASTERN STATE UNIVERSITY OKLAHOMA COLLEGE OF OPTOM",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744647017",
            "telephone_number": "918-444-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLOGLY HARSCH",
        "first_name": "ABIGAIL",
        "middle_name": "CHRISTINE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OK",
            "license": "2850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tahlequah, OK

Sources for this page

Verify at the official NPI Registry.