Individual provider Active NPI

Donald Butler Nardis, O.D.

  • Optometrist
  • Mechanicsburg, PA
National Provider Identifier
1669458055
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OE5276P Issued in PA
Practice address
802 E Simpson St
Eyecare Plus
Mechanicsburg, PA 17055-3461
Phone
(717) 766-1507
Fax
(717) 591-1988
NPI assigned
Dec 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OE5276P PA Primary

Addresses

Primary practice location

802 E Simpson St
Eyecare Plus
Mechanicsburg, PA 17055-3461

Mailing address

802 East Simpson St
Eyecare Plus
Mechanicsburg, PA 17055-3461
Phone (717) 766-1507

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
I20121217000007 PA Practitioner - Optometry 0840313177 Reassigns benefits to 1 organization
Practice locations: Mechanicsburg, PA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1275 York Rd
Gettysburg, PA 17325-7565
Phone (717) 334-3848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OE5276PPAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Selah Eyewear Inc. Optometrist CurrentSince Oct 22, 2023 Accepting new patients
Dr. Donald B. Nardis PastSince Jun 2, 2003 Accepting new patients

Locations

1275 York Rd
Ste 1
Gettysburg, PA 17325
Phone (717) 334-3848

1275 York Rd
Gettysburg, PA 17325
Phone (717) 334-3848

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234483200000",
    "number": "1669458055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 EAST SIMPSON ST",
            "address_2": "EYECARE PLUS",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170553461",
            "telephone_number": "717-766-1507",
            "fax_number": "717-591-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 E SIMPSON ST",
            "address_2": "EYECARE PLUS",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170553461",
            "telephone_number": "717-766-1507",
            "fax_number": "717-591-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARDIS",
        "first_name": "DONALD",
        "middle_name": "BUTLER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2009-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE5276P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.