Individual provider Active NPI

Jennifer Lynn Sommer, OD

  • Optometrist
  • Greensburg, PA
National Provider Identifier
1760645147
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002085 Issued in PA
Practice address
6048 Route 30
Eyecare Greengate
Greensburg, PA 15601-1279
Phone
(724) 836-0802
NPI assigned
Jul 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010081 IL
Optometrist 152W00000X OEG002085 PA Primary

Addresses

Primary practice location

6048 Route 30
Eyecare Greengate
Greensburg, PA 15601-1279

Mailing address

6048 Route 30
Eyecare Greengate
Greensburg, PA 15601-1279

Other identifiers 1

IdentifierTypeStateIssuer
102777276MedicaidPA

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
I20110516000296 PA Practitioner - Optometry 3971656281 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Greengate PCGroup PAC ID 4486734050, 6 clinicians

Practice addresses (Care Compare)

6048 Route 30
Greensburg, PA 15601-1279
Phone (724) 836-0802

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Greengate PC Optometrist CurrentSince Feb 15, 2012 Accepting new patients
Special Care Vision Inc Optometrist CurrentSince Apr 22, 2013 Accepting new patients
Insight Eye Consultants to Nursing Facilities Inc Optometrist CurrentSince Jan 1, 2011 Accepting new patients
Interstate Optical LBR Inc PastSince Dec 29, 2012 Accepting new patients
David D. Green OD Optometrist PastSince Feb 15, 2012 Accepting new patients

Locations

506 Athena Dr
Delmont, PA 15626

6048 State Route 30
Greensburg, PA 15601

6048 Route 30
Greensburg, PA 15601
Phone (724) 836-0802

4566 Wm Penn Hwy
Murrysville, PA 15668
Phone (724) 387-9344

Organizations & group practices 5

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": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1760645147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6048 ROUTE 30",
            "address_2": "EYECARE GREENGATE",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156011279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6048 ROUTE 30",
            "address_2": "EYECARE GREENGATE",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156011279",
            "telephone_number": "724-836-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMMER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010081",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102777276",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.