Individual provider Active NPI

Dennis Michael Hallinan, O.D.

  • Optometrist
  • Huntingdon, PA
National Provider Identifier
1700994100
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001577 Issued in PA
Practice address
6716 Towne Center Blvd
Huntingdon, PA 16652-6933
Phone
(814) 644-6926
Fax
(814) 644-6928
NPI assigned
Aug 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001577 PA Primary

Addresses

Primary practice location

6716 Towne Center Blvd
Huntingdon, PA 16652-6933

Mailing address

1121 22ND Ave
Altoona, PA 16601-3006
Phone (814) 943-4997

Other identifiers 1

IdentifierTypeStateIssuer
101459491 0001MedicaidPA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050107000509 PA Practitioner - Optometry 8224086061 Practice locations: Hollidaysburg, PA; Huntingdon, PA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6716 Towne Ctr Blvd
Huntingdon, PA 16652-6933
Phone (814) 644-6926

712 S Logan Blvd
Suite B
Hollidaysburg, PA 16648-3032
Phone (814) 317-5030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG001577PAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1700994100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 22ND AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166013006",
            "telephone_number": "814-943-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6716 TOWNE CENTER BLVD",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166526933",
            "telephone_number": "814-644-6926",
            "fax_number": "814-644-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLINAN",
        "first_name": "DENNIS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-26",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101459491 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon, PA

Sources for this page

Verify at the official NPI Registry.