Nanny's Eye Care for Kids, P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD065460L Issued in PA

Legal business name

NANNY'S EYE CARE FOR KIDS, P.C.

Practice address

625 E Drinker St Ste 1
Dunmore, PA 18512-2548

Phone

(570) 507-9399

Fax

(507) 871-4756

NPI assigned

Nov 17, 2017

Last updated

Nov 17, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nannette Zale Refice, MD

Title

President

Phone

(570) 507-9399

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510876800000",
    "number": "1659885374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E. DRINKER ST",
            "address_2": "FIRST FLOOR",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185122548",
            "telephone_number": "570-507-9399",
            "fax_number": "507-871-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E DRINKER ST STE 1",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185122548",
            "telephone_number": "570-507-9399",
            "fax_number": "507-871-4756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANNY'S EYE CARE FOR KIDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-17",
        "last_updated": "2017-11-17",
        "status": "A",
        "authorized_official_last_name": "REFICE",
        "authorized_official_first_name": "NANNETTE ZALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-507-9399",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD065460L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017529210011",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Dunmore, PA
• Providers in Dunmore, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; 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.