Jill D Cuthbertson, OD, PC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

OEG001531 Issued in PA

Legal business name

JILL D CUTHBERTSON, OD, PC

Practice address

1344 W 38TH St
Erie, PA 16508-2462

Phone

(814) 868-0895

Fax

(814) 868-0896

NPI assigned

Jul 6, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jill Cuthbertson, ODNPI 1790843977

Title

President

Phone

(814) 459-5128

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jill Diane Cuthbertson, OD

  • Optometrist
  • Erie, PA
  • NPI 1790843977
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1404604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404604800000",
    "number": "1821404393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 W 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082462",
            "telephone_number": "814-868-0895",
            "fax_number": "814-868-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 W 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082462",
            "telephone_number": "814-868-0895",
            "fax_number": "814-868-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL D CUTHBERTSON, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-06",
        "last_updated": "2014-07-06",
        "status": "A",
        "authorized_official_last_name": "CUTHBERTSON",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-459-5128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "PA",
            "license": "OEG001531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019618410001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicklas Jensen
• Sarah Elizabeth Jeremiah, M.D.
• Jerome L. Troncone, Psy.PC
• Jessica B. Macrino, LPC, LLC
• Jessy Brinling Nutrition LLC
• Paul Mishel Jimenez Stuart, DO
• Robert Jude Joba, O.D.
• Holly Kay Jodon, PA-C
• Jagdeep Johal, DO
• James G Johannes, D.C.

• Eyewear Supplier in Erie, PA
• Providers in Erie, PA by specialty
• Eyewear Supplier in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2014; 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.