Individual provider Active NPI

David Stephen Jancaro, O.D.

  • Optometrist
  • Pittsburgh, PA
National Provider Identifier
1740692896
Registry record updated May 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002898 Issued in PA
Practice address
2242 Murray Ave
Pittsburgh, PA 15217-2308
Phone
(412) 422-5300
NPI assigned
May 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002898 PA Primary

Addresses

Primary practice location

2242 Murray Ave
Pittsburgh, PA 15217-2308

Mailing address

1041 9TH Ave
Brackenridge, PA 15014-1301
Phone (724) 972-7877

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
I20170608002465 PA Practitioner - Optometry 3971871260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kelsey a Jancaro OD LLCGroup PAC ID 8426435413, 2 clinicians

Practice addresses (Care Compare)

261 Sunset Dr
Butler, PA 16001-1313
Phone (724) 283-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG002898PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kelsey a Jancaro OD LLC Optometrist CurrentSince Apr 1, 2023 Accepting new patients

Locations

261 Sunset Dr
Butler, PA 16001
Phone (724) 283-2500

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.

NPI Registry JSON

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

{
    "created_epoch": "1400803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400803200000",
    "number": "1740692896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 9TH AVE",
            "city": "BRACKENRIDGE",
            "state": "PA",
            "postal_code": "150141301",
            "telephone_number": "724-972-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2242 MURRAY AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152172308",
            "telephone_number": "412-422-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANCARO",
        "first_name": "DAVID",
        "middle_name": "STEPHEN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-23",
        "last_updated": "2014-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.