Individual provider Active NPI

Joanna Godlewski, OD

  • Optometrist
  • Jefferson Hills, PA
National Provider Identifier
1760484802
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000071 Issued in PA
Practice address
1675 State Route 51
Jefferson Hills, PA 15025-3666
Phone
(412) 382-7155
Fax
(412) 382-7133
NPI assigned
Aug 10, 2005
Last updated
Sep 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000071 PA Primary

Addresses

Primary practice location

1675 State Route 51
Jefferson Hills, PA 15025-3666

Mailing address

1675 State Route 51
Jefferson Hills, PA 15025-3666
Phone (412) 382-7155

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
I20121204000432 PA Practitioner - Optometry 6002068756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pittsburgh Eye Institute LLCGroup PAC ID 1355347162, 3 clinicians

Practice addresses (Care Compare)

1675 Route 51
Jefferson Hills, PA 15025-3666
Phone (412) 382-7155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000071PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pittsburgh Eye Institute LLC CurrentSince Jan 1, 2013 Accepting new patients
Vision Office Management, Inc. PastSince Apr 28, 2010 Accepting new patients
Lappen Eye Care- South Hills Inc Optometrist PastSince Jul 26, 2021 Accepting new patients

Locations

1675 Route 51
Jefferson Hls, PA 15025
Phone (412) 382-7155

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, 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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475193600000",
    "number": "1760484802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 STATE ROUTE 51",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253666",
            "telephone_number": "412-382-7155",
            "fax_number": "412-382-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 STATE ROUTE 51",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253666",
            "telephone_number": "412-382-7155",
            "fax_number": "412-382-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODLEWSKI",
        "first_name": "JOANNA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2016-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson Hills, PA

Sources for this page

Verify at the official NPI Registry.