Susan J. Charnecki-Sincavage, O.D.
Individual provider Active NPI Optometrist · Berwick, PA
NPI 1720198328 · NPPES record last updated Dec 18, 2008
Key facts
- NPI
- 1720198328
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OEG001162 (PA)
- Practice address
- 133 W Front St
Berwick, PA 18603-4701 - Phone
- (570) 752-2500
- Fax
- (570) 752-8842
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081208000567 | PA | Practitioner - Optometry | 2769543867 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kalm Optical II, Inc. | Optometrist | Current |
Accepting new patients |
| Visionworks, Inc | Current |
Accepting new patients | |
| Visionworks, Inc. | Optometrist | Current |
Accepting new patients |
Locations
560 Millcreek Mall
Erie, PA 16565
Phone (814) 868-8540
2300 E Lincoln Hwy
Langhorne, PA 19047
Phone (215) 750-3760
564 Union St
Luzerne, PA 18709
Phone (570) 288-3336
100 Viewmont Mall
Ste 844
Scranton, PA 18508
Phone (570) 344-2786
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG001162 | PA | Yes |
Addresses
Primary practice location
133 W Front St
Berwick, PA 18603-4701
Mailing address
133 W Front St
Berwick, PA 18603-4701
Phone (570) 752-2500
Other providers in Berwick, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.