Organization Active NPI

Pollyanna Sparrow OD PC

  • Eyewear Supplier
  • Nazareth, PA
National Provider Identifier
1659543015
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
OE007080T Issued in PA
Legal business name
POLLYANNA SPARROW OD PC
Practice address
34 S Main St
Nazareth, PA 18064-2036
Phone
(610) 759-6515
NPI assigned
Mar 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Dr. Pollyanna Roberta Sparrow, ODNPI 1992833214
Title
President
Phone
(610) 759-6515

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)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X OE007080T PA Primary

Addresses

Primary practice location

34 S Main St
Nazareth, PA 18064-2036

Mailing address

34 S Main St
Nazareth, PA 18064-2036
Phone (610) 759-6515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100420000441 PA Part B Supplier - Clinic/Group Practice 9830226018 Receives reassigned benefits from 1 practitioner
Practice locations: Nazareth, PA

National Provider Directory

National Provider Directory

Locations

34 S Main St
Nazareth, PA 18064
Phone (610) 754-6515

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1659543015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 S MAIN ST",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180642036",
            "telephone_number": "610-759-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 S MAIN ST",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180642036",
            "telephone_number": "610-759-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLLYANNA SPARROW OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "SPARROW",
        "authorized_official_first_name": "POLLYANNA",
        "authorized_official_middle_name": "ROBERTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-759-6515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "PA",
            "license": "OE007080T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nazareth, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.

Verify at the official NPI Registry.