Daniel Remo Fatula, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001789 Issued in PA

Practice address

635 S Brady St
Du Bois, PA 15801-1202

Phone

(814) 503-4100

Fax

(814) 503-4157

NPI assigned

Aug 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fatula Family Eye Care PLLC

  • Optometrist
  • Du Bois, PA
  • NPI 1700297058
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1710092499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 S BRADY ST",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011202",
            "telephone_number": "814-503-4100",
            "fax_number": "814-503-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 S BRADY ST",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011202",
            "telephone_number": "814-503-4100",
            "fax_number": "814-503-4157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATULA",
        "first_name": "DANIEL",
        "middle_name": "REMO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024126310002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Evans, CRNP
• Devin James Ewing, DNAP, CRNA
• John A Fabre, MD
• Kathryn Elizabeth Fair, BSC
• Fatula Family Eye Care PLLC
• George M Fatula Jr., DPT
• Sonya Federici, B.A.
• Jennifer Feldbauer, CRNP
• Michael D Felix, MD
• Lisa A. Ferrill, CNM

• 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 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.