Organization Active NPI

Greater Vision Eye Associates, LLC

  • Optometrist
  • Lewistown, PA
National Provider Identifier
1770780413
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000613 Issued in PA
Legal business name
GREATER VISION EYE ASSOCIATES, LLC
Practice address
19 W 3Rd St
Lewistown, PA 17044-2475
Phone
(717) 248-5678
Fax
(717) 242-2716
NPI assigned
Jun 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Dr. Michael James Hutton, ODNPI 1811966674
Title
Owner
Phone
(717) 248-5678

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OEG000613 PA Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OEG001728 PA

Addresses

Primary practice location

19 W 3Rd St
Lewistown, PA 17044-2475

Mailing address

19 W 3Rd St
Lewistown, PA 17044-2475
Phone (717) 248-5678

Other identifiers 1

IdentifierTypeStateIssuer
DH0449OtherMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070914000170 PA Part B Supplier - Clinic/Group Practice 1456445964 Receives reassigned benefits from 2 practitioners
Practice locations: Lewistown, PA
O20100930083170 PA DME Supplier - Physician - Optometrist 1456445964 Practice locations: Lewistown, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Greater Vision Eye Associates LLC19 W 3Rd St, Lewistown, PA 17044-2475(717) 248-5678 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jul 2, 2007

National Provider Directory

National Provider Directory

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": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1770780413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 W 3RD ST",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170442475",
            "telephone_number": "717-248-5678",
            "fax_number": "717-242-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 W 3RD ST",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170442475",
            "telephone_number": "717-248-5678",
            "fax_number": "717-242-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER VISION EYE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "HUTTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-248-5678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000613",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001728",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DH0449",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewistown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.