Individual provider Active NPI

John R Martinelli, OD

  • Optometrist
  • Charleroi, PA
National Provider Identifier
1730160763
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000671 Issued in PA
Practice address
303 1St St
Charleroi, PA 15022-1427
Phone
(724) 483-3675
NPI assigned
Nov 8, 2005
Last updated
Dec 11, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000671 PA Primary

Addresses

Primary practice location

303 1St St
Charleroi, PA 15022-1427

Mailing address

685 Maggie LN
Belle Vernon, PA 15012-3859
Phone (724) 929-7171

Other identifiers 1

IdentifierTypeStateIssuer
0010361420002MedicaidPA

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
I20100910000633 PA Practitioner - Optometry 3375507064 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Eyecare Solutions LLCGroup PAC ID 5395869614, 3 clinicians

Practice addresses (Care Compare)

303 1St St
Charleroi, PA 15022-1427
Phone (724) 483-3675

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery50

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Eyecare Solutions LLC Optometrist CurrentSince Jul 1, 2010 Accepting new patients
Invision Medical, LLC Optometrist CurrentSince Apr 15, 2026 Accepting new patients
John J Martinelli OD LTD Optometrist Past Accepting new patients

Locations

303 1st St
Charleroi, PA 15022
Phone (724) 483-3675

107 Matthew Dr
Uniontown, PA 15401
Phone (724) 437-6000

630 Cherry Tree Ln
Uniontown, PA 15401
Phone (724) 439-0308

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1730160763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 MAGGIE LN",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150123859",
            "telephone_number": "724-929-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 1ST ST",
            "city": "CHARLEROI",
            "state": "PA",
            "postal_code": "150221427",
            "telephone_number": "724-483-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINELLI",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010361420002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleroi, PA

Sources for this page

Verify at the official NPI Registry.