Organization Active NPI

Balouris Eye Cener, PC

  • Ophthalmology Physician
  • Butler, PA
National Provider Identifier
1679610521
Registry record updated Aug 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
BALOURIS EYE CENER, PC
Practice address
102 Technology Dr
Suite 120
Butler, PA 16001-1782
Phone
(724) 482-0090
Fax
(724) 482-0093
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2009

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

Authorized official

Name
Dr. Constantine A Balouris, M.D.NPI 1851478531
Title
President
Phone
(724) 482-0090

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

102 Technology Dr
Suite 120
Butler, PA 16001-1782

Mailing address

102 Technology Dr
Suite 120
Butler, PA 16001-1782
Phone (724) 482-0090

Other identifiers 4

IdentifierTypeStateIssuer
DD7831OtherPARAILROAD MEDICARE
001691450MedicaidPA
1501183OtherPAGATEWAY
1755548OtherPAHIGHMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050907000082 PA Part B Supplier - Clinic/Group Practice 0648202085 Receives reassigned benefits from 2 practitioners
Practice locations: Butler, PA

National Provider Directory

National Provider Directory

Locations

102 Technology Dr
Ste 120
Butler, PA 16001
Phone (724) 287-6753

241 Perry Hwy
Ste 6
Harmony, PA 16037
Phone (724) 631-1001

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/medflow_balouris_eye_center

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250208000000",
    "number": "1679610521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 TECHNOLOGY DR",
            "address_2": "SUITE 120",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160011782",
            "telephone_number": "724-482-0090",
            "fax_number": "724-482-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 TECHNOLOGY DR",
            "address_2": "SUITE 120",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160011782",
            "telephone_number": "724-482-0090",
            "fax_number": "724-482-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALOURIS EYE CENER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2009-08-14",
        "status": "A",
        "authorized_official_last_name": "BALOURIS",
        "authorized_official_first_name": "CONSTANTINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-482-0090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD7831",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001691450",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1501183",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1755548",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; 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.

Verify at the official NPI Registry.