Organization Active NPI

Eyecare-Eyewear Center, P.C.

  • Optometrist
  • Middletown, PA
National Provider Identifier
1760627046
Registry record updated Feb 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002173 Issued in PA
Legal business name
EYECARE-EYEWEAR CENTER, P.C.
Practice address
1093 N Union St
Middletown, PA 17057-2159
Phone
(717) 944-4031
Fax
(717) 944-1890
NPI assigned
Dec 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2011

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

Authorized official

Name
Dr. Walter R Guss II, O.D.NPI 1205829504
Title
Optometrist
Phone
(717) 576-5701

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG002173 PA Primary

Addresses

Primary practice location

1093 N Union St
Middletown, PA 17057-2159

Mailing address

1093 N Union St
Middletown, PA 17057-2159
Phone (717) 944-4031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090403000151 PA Part B Supplier - Clinic/Group Practice 5193872471 Receives reassigned benefits from 1 practitioner
Practice locations: Middletown, PA

National Provider Directory

National Provider Directory

Locations

1093 N Union St
Middletown, PA 17057
Phone (717) 944-4031

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1760627046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1093 N UNION ST",
            "city": "MIDDLETOWN",
            "state": "PA",
            "postal_code": "170572159",
            "telephone_number": "717-944-4031",
            "fax_number": "717-944-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1093 N UNION ST",
            "city": "MIDDLETOWN",
            "state": "PA",
            "postal_code": "170572159",
            "telephone_number": "717-944-4031",
            "fax_number": "717-944-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE-EYEWEAR CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-15",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "GUSS",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "717-576-5701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.