Myoptik

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MYOPTIK

Practice address

102 Quail LN Ste 2
Mifflinburg, PA 17844-9325

Phone

(570) 966-0101

NPI assigned

Jun 4, 2019

Organization subpart

No

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

Authorized official

Name

Bobbie Botts

Title

Billing Specialist

Phone

(570) 217-7171

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

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

• Breezy Jane Moyer, O.D.

  • Optometrist
  • Mifflinburg, PA
  • NPI 1487850210
  Medicare reassignment NPD

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561075200000",
    "number": "1710545868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 QUAIL LN STE 2",
            "city": "MIFFLINBURG",
            "state": "PA",
            "postal_code": "178449325",
            "telephone_number": "570-966-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 QUAIL LN STE 2",
            "city": "MIFFLINBURG",
            "state": "PA",
            "postal_code": "178449325",
            "telephone_number": "570-966-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYOPTIK",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-21",
        "status": "A",
        "authorized_official_last_name": "BOTTS",
        "authorized_official_first_name": "BOBBIE",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "570-217-7171"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Leathers, RN BS IBCLC
• Shawn Patrick McGlaughlin, M.D.
• Mifflinburg Area School District
• Mifflinburg Community Ambulance Service
• Breezy Jane Moyer, O.D.
• Nebiker Chiropractic Center PC
• Wendy Louise Orris
• Pennsylvania CVS Pharmacy, L.L.C.
• Angela Marie Probst
• R. Paul Vidunas Jr. DMD, PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.