Individual provider Active NPI

James Cervone

  • Optician
  • Bellevue, PA
National Provider Identifier
1780640177
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Practice address
575 Lincoln Ave
Suite 100
Bellevue, PA 15202-3550
Phone
(412) 766-8875
Fax
(412) 766-5760
NPI assigned
Apr 25, 2006
Last updated
Aug 21, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X NU Primary

Addresses

Primary practice location

575 Lincoln Ave
Suite 100
Bellevue, PA 15202-3550

Mailing address

575 Lincoln Ave
Suite 100
Bellevue, PA 15202-3550
Phone (412) 766-8875

Other identifiers 1

IdentifierTypeStateIssuer
0017377920001MedicaidPA

Other names 1

  • Dba Quality Eyewear Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219276800000",
    "number": "1780640177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 LINCOLN AVE",
            "address_2": "SUITE 100",
            "city": "BELLEVUE",
            "state": "PA",
            "postal_code": "152023550",
            "telephone_number": "412-766-8875",
            "fax_number": "412-766-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 LINCOLN AVE",
            "address_2": "SUITE 100",
            "city": "BELLEVUE",
            "state": "PA",
            "postal_code": "152023550",
            "telephone_number": "412-766-8875",
            "fax_number": "412-766-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVONE",
        "first_name": "JAMES",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2008-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017377920001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DBA QUALITY",
            "last_name": "EYEWEAR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bellevue, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.