Active NPI
Complete Family Vision Care, Inc.
- Optometrist
- Beaver Falls, PA
National Provider Identifier
1821196338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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, 2007
- 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. Gary J. Havranek, OD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA5140 | Other | PA | MEDICARE RAILROAD |
| 00119257700001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Beaver Falls, PA
- NPI 1922097153
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.