NPIMap

Organization Active NPI

Dombrowski Eye Associates

  • Optometrist
  • Lancaster, PA
National Provider Identifier
1790719714
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0EG000467 Issued in PA
Legal business name
DOMBROWSKI EYE ASSOCIATES
Practice address
816 Estelle Dr
Lancaster, PA 17601-2135
Phone
(717) 898-8879
Fax
(717) 898-4679
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Authorized official

Name
Dennis E Dombrowski, ODNPI 1174557094
Title
Owner
Phone
(717) 898-8878

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 0EG000467 PA Primary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X 0EG000467 PA
Pediatric OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WP0200X 0EG000467 PA
Sports Vision OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WS0006X 0EG000467 PA
Occupational Vision OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WX0102X 0EG000467 PA

Addresses

Primary practice location

816 Estelle Dr
Lancaster, PA 17601-2135

Mailing address

816 Estelle Dr
Lancaster, PA 17601-2135
Phone (717) 898-8879

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040719000240 PA Part B Supplier - Clinic/Group Practice 1658350160 Receives reassigned benefits from 3 practitioners
Practice locations: Lancaster, PA
O20100930004307 PA DME Supplier - Physician - Optometrist 1658350160 Practice locations: Lancaster, PA

National Provider Directory

National Provider Directory

Locations

816 Estelle Dr
Lancaster, PA 17601
Phone (717) 898-8878

Practitioners & affiliated clinicians

Practitioners 3

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": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1790719714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 ESTELLE DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012135",
            "telephone_number": "717-898-8879",
            "fax_number": "717-898-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 ESTELLE DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012135",
            "telephone_number": "717-898-8879",
            "fax_number": "717-898-4679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMBROWSKI EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "DOMBROWSKI",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-898-8878",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "0EG000467",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "PA",
            "license": "0EG000467",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "PA",
            "license": "0EG000467",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": "PA",
            "license": "0EG000467",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Occupational Vision",
            "state": "PA",
            "license": "0EG000467",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.