Individual provider Active NPI

Michael Lonesky, O.D.

  • Optometrist
  • Altoona, PA
National Provider Identifier
1790935369
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002016 Issued in PA
Practice address
1213 13TH Ave
Altoona, PA 16601-3433
Phone
(814) 944-4011
Fax
(814) 944-1682
NPI assigned
Sep 19, 2008
Last updated
Jul 20, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002016 PA Primary

Addresses

Primary practice location

1213 13TH Ave
Altoona, PA 16601-3433

Mailing address

1213 13TH Ave
Altoona, PA 16601-3433
Phone (814) 944-4011

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
I20081120000520 PA Practitioner - Optometry 0941360937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1213 13TH Ave
Altoona, PA 16601-3433
Phone (814) 944-4011

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG002016PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael L. Lonesky OD PC Optometrist CurrentSince May 3, 2013 Accepting new patients
Michael L Lonesky OD PC Optometrist Past Accepting new patients

Locations

1213 13th Ave
Altoona, PA 16601
Phone (814) 944-4011

1407 Eisenhower Blvd
Ste 104
Johnstown, PA 15904
Phone (814) 269-1494

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": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1790935369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 13TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166013433",
            "telephone_number": "814-944-4011",
            "fax_number": "814-944-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 13TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166013433",
            "telephone_number": "814-944-4011",
            "fax_number": "814-944-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONESKY",
        "first_name": "MICHAEL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-19",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.