Individual provider Active NPI

Joseph Ozbold, O.D.

  • Optometrist
  • Ebensburg, PA
National Provider Identifier
1750722575
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002796 Issued in PA
Practice address
125 Manor Dr
Ebensburg, PA 15931-2081
Phone
(814) 472-9670
Fax
(814) 472-9670
NPI assigned
Jul 9, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002796 PA Primary

Addresses

Primary practice location

125 Manor Dr
Ebensburg, PA 15931-2081

Mailing address

125 Manor Dr
Ebensburg, PA 15931-2081
Phone (814) 472-9670

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
I20131031000995 PA Practitioner - Optometry 3476788381 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arlow Ophthalmology LLC CurrentSince Apr 1, 2022 Accepting new patients
Christie Cardellino, OD LLC Optometrist CurrentSince Mar 7, 2022 Accepting new patients
Pediatric Care Specialists CurrentSince Sep 1, 2015 Accepting new patients

Locations

414 W High St
Ebensburg, PA 15931
Phone (724) 463-0286

2441 Bedford St
Johnstown, PA 15904
Phone (814) 242-3334

1322 Eisenhower Blvd
Johnstown, PA 15904
Phone (814) 266-8840

865 Eisenhower Blvd
Johnstown, PA 15904
Phone (814) 266-8840

Organizations & group practices 3

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": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1750722575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MANOR DR",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159312081",
            "telephone_number": "814-472-9670",
            "fax_number": "814-472-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MANOR DR",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159312081",
            "telephone_number": "814-472-9670",
            "fax_number": "814-472-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZBOLD",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ebensburg, PA

Sources for this page

Verify at the official NPI Registry.