Individual provider Active NPI

Tal Asher Barak, O.D

  • Optometrist
  • Pittsburgh, PA
National Provider Identifier
1679686810
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002553 Issued in PA
Practice address
202 Costco Dr
Optical Department
Pittsburgh, PA 15205-4858
Phone
(626) 318-6930
Fax
(412) 490-2226
NPI assigned
Aug 15, 2006
Last updated
Dec 30, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11603T CA
Optometrist 152W00000X OEG002553 PA Primary

Addresses

Primary practice location

202 Costco Dr
Optical Department
Pittsburgh, PA 15205-4858

Mailing address

202 Costco Dr
Optical Department
Pittsburgh, PA 15205-4858
Phone (626) 318-6930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
11603TCAMDOptometrist
OEG002553PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Eye Institute, Inc. PastSince Nov 18, 2022 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1679686810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 COSTCO DR",
            "address_2": "OPTICAL DEPARTMENT",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152054858",
            "telephone_number": "626-318-6930",
            "fax_number": "412-490-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 COSTCO DR",
            "address_2": "OPTICAL DEPARTMENT",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152054858",
            "telephone_number": "626-318-6930",
            "fax_number": "412-490-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAK",
        "first_name": "TAL",
        "middle_name": "ASHER",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11603T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.