Active NPI
Restore Eye Care, P.C.
- Optometrist
- State College, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000589
- Legal business name
- RESTORE EYE CARE, P.C.
- Practice address
- 100 Oakwood Ave
Oakwood Centre Ste 300
State College, PA 16803 - Phone
- (814) 272-0262
- Fax
- (814) 272-1501
- NPI assigned
- Jan 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tracy C Sepich, O.D.
- Title
- President
- Phone
- (814) 272-0262
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG000589 | PA | Primary |
Addresses
Primary practice location
100 Oakwood Ave
Oakwood Centre Ste 300
State College, PA 16803
Mailing address
100 Oakwood Ave
Oakwood Centre Ste 300
State College, PA 16803
Phone (814) 272-0262
Other names 1
- Sepich Eye Care, P.C.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
650 Grays Woods Blvd
Ste 120
Port Matilda, PA 16870
Phone (814) 272-0262
100 Oakwood Ave
Ste 300
State College, PA 16803
Phone (814) 272-0262
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- State College, PA
- NPI 1407826969
-
- Optometrist
- Port Matilda, PA
- NPI 1043322654
-
- Occupational Therapist
- Media, PA
- NPI 1588076442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465344000000",
"number": "1821078569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 OAKWOOD AVE",
"address_2": "OAKWOOD CENTRE STE 300",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "16803",
"telephone_number": "814-272-0262",
"fax_number": "814-272-1501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 OAKWOOD AVE",
"address_2": "OAKWOOD CENTRE STE 300",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "16803",
"telephone_number": "814-272-0262",
"fax_number": "814-272-1501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTORE EYE CARE, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-19",
"last_updated": "2016-06-08",
"status": "A",
"authorized_official_last_name": "SEPICH",
"authorized_official_first_name": "TRACY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "814-272-0262",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "PA",
"license": "OEG000589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sepich Eye Care, P.C.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in State College, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.