Endless Mountains Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG-000540 Issued in PA

Legal business name

ENDLESS MOUNTAINS EYE CARE, LLC

Practice address

327 Springbrook Dr
Canton, PA 17724-7896

Phone

(570) 673-8390

Fax

(570) 673-4606

NPI assigned

Nov 10, 2010

Last updated

Jun 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nikki L RookNPI 1861588790

Title

Owner

Phone

(570) 673-8390

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nikki Rook, O.D.

  • Optometrist
  • Canton, PA
  • NPI 1861588790
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1801197678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 SPRINGBROOK DR",
            "city": "CANTON",
            "state": "PA",
            "postal_code": "177247896",
            "telephone_number": "570-673-8390",
            "fax_number": "570-673-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 SPRINGBROOK DR",
            "city": "CANTON",
            "state": "PA",
            "postal_code": "177247896",
            "telephone_number": "570-673-8390",
            "fax_number": "570-673-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDLESS MOUNTAINS EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "ROOK",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-673-8390"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG-000540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019750970005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Canton Area School District
• Rebecca Moore Castle, NP
• Chelsesa Maureen Cicora-Brown, LSW
• Concern-Professional Services for Children, Youth & Families
• Concern-Professional Services for Children, Youth & Families
• Jennifer A. Ferguson, PT
• Gregory James Griess, RPH
• Guthrie Clinic, LTD.
• Guthrie Health
• Guthrie Medical Group, P.C.

• Optometrist in Canton, PA
• Providers in Canton, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.