Organization Active NPI

Selah Eyewear Inc.

Doing business as American Eyewear

  • Eyewear Supplier
  • Gettysburg, PA
National Provider Identifier
1821263435
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
6000004333 Issued in PA
Legal business name
SELAH EYEWEAR INC.
Doing business as
American Eyewear
Practice address
1275 York Rd
Suite #1
Gettysburg, PA 17325-7565
Phone
(717) 334-3848
Fax
(717) 334-0196
NPI assigned
Apr 24, 2008
Last updated
Dec 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Authorized official

Name
Barbara A McDaniel
Title
President
Phone
(717) 495-0607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 6000004333 PA Primary

Addresses

Primary practice location

1275 York Rd
Suite #1
Gettysburg, PA 17325-7565

Mailing address

1275 York Rd
Suite #1
Gettysburg, PA 17325-7565
Phone (717) 334-3848

Other identifiers 1

IdentifierTypeStateIssuer
001299911-001MedicaidPA

Other names 1

  • AMERICAN EYEWEAR Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240122004506 PA Part B Supplier - Clinic/Group Practice 8426417049 Receives reassigned benefits from 1 practitioner
Practice locations: Gettysburg, PA

National Provider Directory

National Provider Directory

Locations

1275 York Rd
Gettysburg, PA 17325
Phone (717) 334-3848

1275 York Rd
Ste 1
Gettysburg, PA 17325
Phone (717) 334-3848

Practitioners & affiliated clinicians

Practitioners 2

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": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1821263435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 YORK RD",
            "address_2": "SUITE #1",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173257565",
            "telephone_number": "717-334-3848",
            "fax_number": "717-334-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 YORK RD",
            "address_2": "SUITE #1",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173257565",
            "telephone_number": "717-334-3848",
            "fax_number": "717-334-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELAH EYEWEAR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-495-0607"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "PA",
            "license": "6000004333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001299911-001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMERICAN EYEWEAR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gettysburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.

Verify at the official NPI Registry.