Active NPI
Designer Eyeglass, LTD
- Eyewear Supplier
- Sunbury, PA
National Provider Identifier
1669529293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000756441 | Other | PA | BLUE SHIELD HIGHMARK |
| 393870 | Other | PA | NATIONAL VISION ADMINISTR |
National Provider Directory
National Provider DirectoryLocations
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.