Organization Active NPI

Designer Eyeglass, LTD

  • Eyewear Supplier
  • Sunbury, PA
National Provider Identifier
1669529293
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
DESIGNER EYEGLASS, LTD
Practice address
1125 N 4TH St
Sunbury, PA 17801-1229
Phone
(570) 286-3944
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Amy Spotts, O.D.
Title
Optometrist
Phone
(570) 286-3944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1125 N 4TH St
Sunbury, PA 17801-1229

Mailing address

1125 N 4TH St
Sunbury, PA 17801-1229
Phone (570) 286-3944

Other identifiers 2

IdentifierTypeStateIssuer
000756441OtherPABLUE SHIELD HIGHMARK
393870OtherPANATIONAL VISION ADMINISTR

National Provider Directory

National Provider Directory

Locations

880 N Susquehanna Trl
Selinsgrove, PA 17870
Phone (570) 374-4444

1125 N 4th St
Sunbury, PA 17801
Phone (570) 286-3944

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1669529293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 N 4TH ST",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178011229",
            "telephone_number": "570-286-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 N 4TH ST",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178011229",
            "telephone_number": "570-286-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESIGNER EYEGLASS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "SPOTTS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "570-286-3944",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD HIGHMARK",
            "identifier": "000756441",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL VISION ADMINISTR",
            "identifier": "393870",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunbury, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.