Organization Active NPI

South Hills Eye Associates

  • Ophthalmology Physician
  • Pittsburgh, PA
National Provider Identifier
1699743765
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SOUTH HILLS EYE ASSOCIATES
Doing business as
South Hills Eye Associates
Practice address
713 Washington Rd
Pittsburgh, PA 15228-2001
Phone
(412) 561-1964
Fax
(412) 561-7295
NPI assigned
Mar 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Authorized official

Name
Mrs. Mary Ann B Naberezny
Title
Administrator
Phone
(412) 561-1964

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X PA Primary

Addresses

Primary practice location

713 Washington Rd
Pittsburgh, PA 15228-2001

Mailing address

713 Washington Rd
Pittsburgh, PA 15228-2001
Phone (412) 561-1964

Other identifiers 7

IdentifierTypeStateIssuer
180039524OtherPARAILROAD MEDICARE
P00007407OtherPARAILROAD MEDICARE
180009538OtherPARAILROAD MEDICARE
180024366OtherPARAILROAD MEDICARE
180009539OtherPARAILROAD MEDICARE
180015304OtherPARAILROAD MEDICARE
180039523OtherPARAILROAD MEDICARE

Other names 1

  • South Hills Eye Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050419000834 PA Part B Supplier - Clinic/Group Practice 3971541186 Receives reassigned benefits from 7 practitioners
Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory
Tax ID family
South Hills Eye Associates5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1699743765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 WASHINGTON RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152282001",
            "telephone_number": "412-561-1964",
            "fax_number": "412-561-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 WASHINGTON RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152282001",
            "telephone_number": "412-561-1964",
            "fax_number": "412-561-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HILLS EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "NABEREZNY",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "412-561-1964",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180039524",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00007407",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180009538",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180024366",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180009539",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180015304",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180039523",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Hills Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 2, 2018; 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.