Active NPI
Family Vision Care East
- Optometrist
- Pittsburgh, PA
National Provider Identifier
1659435972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG 001100
- Legal business name
- FAMILY VISION CARE EAST
- Practice address
- 5917 Penn Ave
Pittsburgh, PA 15206-3818 - Phone
- (412) 441-6685
- NPI assigned
- Dec 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matthew James Deluca, OD
- Title
- Owner
- Phone
- (412) 441-6685
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG 001100 | PA | Primary |
Addresses
Primary practice location
5917 Penn Ave
Pittsburgh, PA 15206-3818
Mailing address
5917 Penn Ave
Pittsburgh, PA 15206-3818
Phone (412) 441-6685
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012700740006 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Baden, PA
- NPI 1417946468
-
- Optometrist
- Kittanning, PA
- NPI 1811987555
-
- Optometrist
- Baden, PA
- NPI 1275107435
-
- Optometrist
- Baden, PA
- NPI 1144804675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1659435972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5917 PENN AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152063818",
"telephone_number": "412-441-6685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5917 PENN AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152063818",
"telephone_number": "412-441-6685"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY VISION CARE EAST",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DELUCA",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "412-441-6685",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "PA",
"license": "OEG 001100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012700740006",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.