Active NPI
Pollyanna Sparrow OD PC
- Eyewear Supplier
- Nazareth, PA
National Provider Identifier
1659543015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- OE007080T
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Pollyanna Roberta Sparrow, OD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100420000441 | PA | Part B Supplier - Clinic/Group Practice | 9830226018 |
Receives reassigned benefits from 1 practitioner Practice locations: Nazareth, PA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Nazareth, PA
- NPI 1790248656
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.