Individual provider Active NPI

Maria Claudette Vitale, OD

  • Optometrist
  • Seven Fields, PA
National Provider Identifier
1790492742
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003963 Issued in PA
Practice address
673 Castle Creek Drive Ext
Seven Fields, PA 16046-7864
Phone
(724) 778-3937
NPI assigned
Oct 31, 2022
Last updated
Jun 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003963 PA Primary
Optometrist 152W00000X 003963 PA

Addresses

Primary practice location

673 Castle Creek Drive Ext
Seven Fields, PA 16046-7864

Mailing address

5026 Stags Leap LN
Moon TWP, PA 15108-9481
Phone (412) 478-8278

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
I20221223000229 PA Practitioner - Optometry 3779953302 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Eyecare North LLCGroup PAC ID 5496012288, 3 clinicians

Practice addresses (Care Compare)

673 Castle Creek Dr Ext
Suite 104
Seven Fields, PA 16046-7864
Phone (724) 778-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003963PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eyecare North, LLC Optometrist CurrentSince Jul 16, 2024 Accepting new patients
Advanced Vision Care LLC Optometrist CurrentSince Jan 5, 2023 Accepting new patients
Red Apple Reading Center LLC Current Accepting new patients
Family Eyecare North Inc Optometrist PastSince Jul 16, 2024 Accepting new patients

Locations

681 McMurray Rd
Bethel Park, PA 15102
Phone (412) 835-7474

673 Castle Creek Drive Ext
Seven Fields, PA 16046
Phone (724) 742-2700

673 Castle Creek Drive Ext
Ste 104
Seven Fields, PA 16046
Phone (724) 778-3937

Organizations & group practices 4

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": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1790492742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5026 STAGS LEAP LN",
            "city": "MOON TWP",
            "state": "PA",
            "postal_code": "151089481",
            "telephone_number": "412-478-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 CASTLE CREEK DRIVE EXT",
            "city": "SEVEN FIELDS",
            "state": "PA",
            "postal_code": "160467864",
            "telephone_number": "724-778-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITALE",
        "first_name": "MARIA",
        "middle_name": "CLAUDETTE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003963",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "003963",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seven Fields, PA

Sources for this page

Verify at the official NPI Registry.