Active NPI
Joseph Ariel Aentara, OD
- Vision Therapy Optometrist
- Furlong, PA
National Provider Identifier
1730678251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- 008143
- Practice address
- 3068 Cloverly Dr
Furlong, PA 18925-1231 - Phone
- (215) 489-9815
- NPI assigned
- May 10, 2018
- Last updated
- May 10, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | 008143 | PA | Primary |
Addresses
Primary practice location
3068 Cloverly Dr
Furlong, PA 18925-1231
Mailing address
3068 Cloverly Dr
Furlong, PA 18925-1231
Phone (215) 489-9815
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008143 | PA | MD | Vision Therapy Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525910400000",
"number": "1730678251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3068 CLOVERLY DR",
"city": "FURLONG",
"state": "PA",
"postal_code": "189251231",
"telephone_number": "215-489-9815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3068 CLOVERLY DR",
"city": "FURLONG",
"state": "PA",
"postal_code": "189251231",
"telephone_number": "215-489-9815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AENTARA",
"first_name": "JOSEPH",
"middle_name": "ARIEL",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-10",
"last_updated": "2018-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "PA",
"license": "008143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Furlong, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.