Organization Active NPI

Medical Optical Associates, Inc

  • Durable Medical Equipment & Medical Supplies
  • Sewickley, PA
National Provider Identifier
1790835239
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDICAL OPTICAL ASSOCIATES, INC
Practice address
400 Broad St
Sutie 2020
Sewickley, PA 15143-1500
Phone
(412) 741-4610
Fax
(412) 741-8967
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Authorized official

Name
Ivan A. Baumwell, M.D.
Title
President
Phone
(412) 741-4610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

400 Broad St
Sutie 2020
Sewickley, PA 15143-1500

Mailing address

400 Broad St
Sutie 2020
Sewickley, PA 15143-1500
Phone (412) 741-4610

Other identifiers 1

IdentifierTypeStateIssuer
0007737020001MedicaidPA

National Provider Directory

National Provider Directory

Locations

400 Broad St
Ste 2020
Sewickley, PA 15143
Phone (412) 741-4610

Practitioners & affiliated clinicians

Practitioners 1

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": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1790835239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BROAD ST",
            "address_2": "SUTIE 2020",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431500",
            "telephone_number": "412-741-4610",
            "fax_number": "412-741-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BROAD ST",
            "address_2": "SUTIE 2020",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431500",
            "telephone_number": "412-741-4610",
            "fax_number": "412-741-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL OPTICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "BAUMWELL",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-741-4610",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007737020001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.