Individual provider Active NPI

Annette F. Farabaugh, O.D.

  • Optometrist
  • Indiana, PA
National Provider Identifier
1720045446
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001045 Issued in PA
Practice address
2334 Oakland Ave
Suite 1
Indiana, PA 15701-3348
Phone
(724) 349-6220
Fax
(724) 349-5683
NPI assigned
Apr 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001045 PA Primary

Addresses

Primary practice location

2334 Oakland Ave
Suite 1
Indiana, PA 15701-3348

Mailing address

152 Sandro St
Indiana, PA 15701-6005
Phone (724) 357-8308

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
I20050221000579 PA Practitioner - Optometry 7517910300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2340 Warren Rd
Suite 107
Indiana, PA 15701-2413
Phone (724) 717-6952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
In Focus Eye Care LLC Optometrist CurrentSince Feb 1, 2018 Accepting new patients
Luxottica Retail North America Inc Past Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

2340 Warren Rd
Ste 107
Indiana, PA 15701
Phone (724) 357-8308

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1720045446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 SANDRO ST",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157016005",
            "telephone_number": "724-357-8308",
            "fax_number": "724-357-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 OAKLAND AVE",
            "address_2": "SUITE 1",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013348",
            "telephone_number": "724-349-6220",
            "fax_number": "724-349-5683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARABAUGH",
        "first_name": "ANNETTE",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

Verify at the official NPI Registry.