Individual provider Active NPI

Lonie M Staines, O.D.

  • Optometrist
  • Sewickley, PA
National Provider Identifier
1740294297
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001585 Issued in PA
Practice address
400 Broad St
Suite 2020
Sewickley, PA 15143-1500
Phone
(412) 741-4610
Fax
(412) 741-8967
NPI assigned
Jul 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 OEG001585 PA Primary

Addresses

Primary practice location

400 Broad St
Suite 2020
Sewickley, PA 15143-1500

Mailing address

400 Broad St
Suite 2020
Sewickley, PA 15143-1500
Phone (412) 741-4610

Other identifiers 1

IdentifierTypeStateIssuer
1828224MedicaidPA

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
I20111109000031 PA Practitioner - Optometry 5890968705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sewickley Eye Center, LTDGroup PAC ID 0345137105, 10 clinicians

Practice addresses (Care Compare)

400 Broad St
Suite 2020
Sewickley, PA 15143-1500
Phone (412) 741-4610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG001585PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sewickley Eye Center, LTD CurrentSince Oct 26, 2016 Accepting new patients

Locations

27 Heckel Rd
Ste 107
Mc Kees Rocks, PA 15136
Phone (412) 331-6503

27 Heckel Rd
Ste 211
Mc Kees Rocks, PA 15136
Phone (412) 777-4300

95 Golfview Dr
#A
Monaca, PA 15061
Phone (724) 770-9000

400 Broad St
Ste 2020
Sewickley, PA 15143
Phone (412) 741-4610

Organizations & group practices 1

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740294297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BROAD ST",
            "address_2": "SUITE 2020",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431500",
            "telephone_number": "412-741-4610",
            "fax_number": "412-741-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BROAD ST",
            "address_2": "SUITE 2020",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431500",
            "telephone_number": "412-741-4610",
            "fax_number": "412-741-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAINES",
        "first_name": "LONIE",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1828224",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

Verify at the official NPI Registry.