Individual provider Active NPI

Jennifer Lynn McGrath, O.D.

  • Optometrist
  • Butler, PA
National Provider Identifier
1790002905
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002318 Issued in PA
Practice address
391 Evans City Road
Butler, PA 16001
Phone
(724) 283-8144
NPI assigned
Apr 27, 2010
Last updated
Apr 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002318 PA Primary

Addresses

Primary practice location

391 Evans City Road
Butler, PA 16001

Mailing address

285 Estates Dr
Gibsonia, PA 15044-9142

Other practice location 1

297 Evans City Rd
Butler, PA 16001-2754
Phone (724) 283-8144

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
I20100604000097 PA Practitioner - Optometry 3375672157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Butler Eye Care LLCGroup PAC ID 7517256993, 5 clinicians

Practice addresses (Care Compare)

391 Evans City Rd
Butler, PA 16001-6737
Phone (724) 283-8144

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG002318PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Eye Care, LLC Optometrist CurrentSince May 3, 2016 Accepting new patients

Locations

391 Evans City Rd
Butler, PA 16001
Phone (724) 283-7303

297 Evans City Rd
Butler, PA 16001
Phone (724) 283-8144

Organizations & group practices 2

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": "1272326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1790002905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 ESTATES DR",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150449142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 EVANS CITY ROAD",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "16001",
            "telephone_number": "724-283-8144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "297 Evans City Rd",
            "address_purpose": "LOCATION",
            "city": "Butler",
            "state": "PA",
            "postal_code": "160012754",
            "country_code": "US",
            "telephone_number": "724-283-8144",
            "fax_number": "724-283-7303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGRATH",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-27",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.