Active NPI
Maureen Kielar, OPTICIAN
- Optician
- Carbondale, PA
National Provider Identifier
1740463884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Practice address
- 78 Salem Ave
Carbondale, PA 18407-2004 - Phone
- (570) 282-2000
- NPI assigned
- Dec 12, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
78 Salem Ave
Carbondale, PA 18407-2004
Mailing address
78 Salem Ave
Carbondale, PA 18407-2004
Phone (570) 282-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KI211041 | Other | PA | BLUE CROSS BLUE SHIELD |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Eye Associates, P.C. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Ophthalmology Physician
- Scranton, PA
- NPI 1588790406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197417600000",
"number": "1740463884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 SALEM AVE",
"city": "CARBONDALE",
"state": "PA",
"postal_code": "184072004",
"telephone_number": "570-282-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 SALEM AVE",
"city": "CARBONDALE",
"state": "PA",
"postal_code": "184072004",
"telephone_number": "570-282-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIELAR",
"first_name": "MAUREEN",
"credential": "OPTICIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-12",
"last_updated": "2007-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "KI211041",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carbondale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.