Harrison-Kulback Eyecare

Primary specialty

OptometristTaxonomy code 152W00000X

License

OE007853P Issued in PA

Legal business name

HARRISON-KULBACK EYECARE

Practice address

1110 Scalp Avenue
Johnstown, PA 15904-3037

Phone

(814) 266-6888

Fax

(814) 262-0267

NPI assigned

Nov 6, 2007

Last updated

Jun 14, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

KULBACK EYECARE INCAs reported in NPPES

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

Authorized official

Name

Kenneth Joseph Kulback, DCNPI 1942272786

Title

President

Phone

(814) 266-6888

Specialties & licenses 1

Addresses

Other identifiers 5

Part of

Harrison-Kulback Eyecare

Locations

Practitioners 1

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.

• Kenneth Joseph Kulback, DC

  • Chiropractor
  • Johnstown, PA
  • NPI 1942272786
  Authorized official Same address or phone

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1699955872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 SCALP AVENUE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043037",
            "telephone_number": "814-266-6888",
            "fax_number": "814-262-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 SCALP AVENUE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043037",
            "telephone_number": "814-266-6888",
            "fax_number": "814-262-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON-KULBACK EYECARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KULBACK EYECARE INC",
        "enumeration_date": "2007-11-06",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "KULBACK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-266-6888",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE007853P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015774560008",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015774560007",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE MED",
            "identifier": "910853",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVAL NPI NUMBER",
            "identifier": "1780768515",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID NUMBER",
            "identifier": "HA1886072",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Lynch Harrigan, REGISTERED NURSE
• Brianne Marie Harrington, LPC
• James Dale Harrington
• Marilyn Joy Harrington, CRNP
• Randall Jay Harris, PSY.D.
• Shari Lynn Harrison, OD
• Mark B Harshberger, LCSW
• Christopher James Hartland, D.C.
• Robert Theodore Hartman, DO
• Sarah Harvey

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.