Organization Active NPI

Complete Family Vision Care, Inc.

  • Optometrist
  • Beaver Falls, PA
National Provider Identifier
1821196338
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
COMPLETE FAMILY VISION CARE, INC.
Practice address
1315 6TH Ave
Beaver Falls, PA 15010-4213
Phone
(724) 843-1870
Fax
(724) 843-7275
NPI assigned
Sep 20, 2006
Last updated
Nov 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Authorized official

Name
Dr. Gary J. Havranek, ODNPI 1922097153
Title
Optometrist/Owner
Phone
(724) 843-1870

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

1315 6TH Ave
Beaver Falls, PA 15010-4213

Mailing address

1315 6TH Ave
Beaver Falls, PA 15010-4213
Phone (724) 843-1870

Other identifiers 2

IdentifierTypeStateIssuer
CA5140OtherPAMEDICARE RAILROAD
00119257700001MedicaidPA

National Provider Directory

National Provider Directory

Locations

443 State Ave
Beaver, PA 15009
Phone (724) 728-1872

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1821196338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 6TH AVE",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150104213",
            "telephone_number": "724-843-1870",
            "fax_number": "724-843-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 6TH AVE",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150104213",
            "telephone_number": "724-843-1870",
            "fax_number": "724-843-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE FAMILY VISION CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "HAVRANEK",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "724-843-1870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CA5140",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119257700001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Falls, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.