Fatula Family Eye Care PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001789 Issued in PA

Legal business name

FATULA FAMILY EYE CARE PLLC

Practice address

20 Industrial Dr
Du Bois, PA 15801-3842

Phone

(814) 913-3006

Fax

(814) 371-2713

NPI assigned

May 8, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Daniel R Fatula, ODNPI 1710092499

Title

Owner/Provider

Phone

(814) 913-3006

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 2

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

• Daniel Remo Fatula, O.D.

  • Optometrist
  • Du Bois, PA
  • NPI 1710092499
  Medicare reassignment NPD Authorized official
• Nestor J. Paronish, O.D.

  • Optometrist
  • Clearfield, PA
  • NPI 1760584445
  Medicare reassignment NPD

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1700297058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SYLVAN HEIGHTS DR",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158015868",
            "telephone_number": "814-913-3006",
            "fax_number": "814-371-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 INDUSTRIAL DR",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158013842",
            "telephone_number": "814-913-3006",
            "fax_number": "814-371-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FATULA FAMILY EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-08",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "FATULA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "814-913-3006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024126310002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rex D Evans, PA-C
• Sarah Evans, CRNP
• Devin James Ewing, DNAP, CRNA
• John A Fabre, MD
• Kathryn Elizabeth Fair, BSC
• Daniel Remo Fatula, O.D.
• George M Fatula Jr., DPT
• Sonya Federici, B.A.
• Jennifer Feldbauer, CRNP
• Michael D Felix, MD

• Optometrist in Du Bois, PA
• Providers in Du Bois, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.