Anthony DO, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001863 Issued in PA

Practice address

Routes 11 &15, Space #G-4
Susquehanna Valley Mall
Selinsgrove, PA 17870

Phone

(570) 372-1500

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Independence CorporationGroup PAC ID 0749351005, 12 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Independence Corporation

  • Optometrist
  • Whitehall, PA
  • NPI 1972549657
  Medicare reassignment Care Compare group NPD
• Independence Corporation

  • Optometrist
  • Ephrata, PA
  • NPI 1386928208
  NPD

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679646707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 LINCOLN DR",
            "city": "TAMAQUA",
            "state": "PA",
            "postal_code": "182524317",
            "telephone_number": "570-952-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTES 11 &15, SPACE #G-4",
            "address_2": "SUSQUEHANNA VALLEY MALL",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "17870",
            "telephone_number": "570-372-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "ANTHONY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DH&L Ambulance League
• Mark E Dincher, DMD
• Tara Lynn Dively, M.A., LMFT
• Diversified Construction, Inc.
• Divine Providence Hospital of the Sisters of Christian Charity
• Christine S. Dotterer, MD
• Dr. Henry G Yavorek MD
• Laurie Drick, OTR/L
• Brandon Dunkle, RPH
• Dva Healthcare Renal Care Inc

• Optometrist in Selinsgrove, PA
• Providers in Selinsgrove, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.