Active NPI
Lebanon Ophthalmic Associates
- Optometrist
- Lebanon, PA
National Provider Identifier
1831114412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OE008055T
- Legal business name
- LEBANON OPHTHALMIC ASSOCIATES
- Practice address
- 770 Norman Dr
Lebanon, PA 17042-7495 - Phone
- (717) 272-2161
- Fax
- (717) 270-0301
- NPI assigned
- Jul 13, 2006
- Last updated
- Aug 22, 2020
- 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. James William Bush, MD
- Title
- Owner/Ophthalmologist
- Phone
- (717) 272-2161
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 | OE008055T | PA | Primary |
Addresses
Primary practice location
770 Norman Dr
Lebanon, PA 17042-7495
Mailing address
770 Norman Dr
Lebanon, PA 17042-7495
Phone (717) 272-2161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012029400001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Ophthalmology Physician
- Lebanon, PA
- NPI 1740273952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1831114412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 NORMAN DR",
"city": "LEBANON",
"state": "PA",
"postal_code": "170427495",
"telephone_number": "717-272-2161",
"fax_number": "717-270-0301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 NORMAN DR",
"city": "LEBANON",
"state": "PA",
"postal_code": "170427495",
"telephone_number": "717-272-2161",
"fax_number": "717-270-0301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEBANON OPHTHALMIC ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BUSH",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER/OPHTHALMOLOGIST",
"authorized_official_telephone_number": "717-272-2161",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OE008055T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012029400001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, PA
- Lebanon Internal Medicine Associates PC
- Lebanon Internal Medicine Associates, P.C.
- Lebanon MRI Associates, LTD (GSH Imaging Center)
- Lebanon OB GYN Associates
- Lebanon Oncology & Hematology Assoc.
- Lebanon Oral Surgery Group PLLC
- Lebanon Orthopaedic Associates
- Lebanon Outpatient Surgical Center L.P.
- Lebanon Pain Relief Center PC
- Lebanon Pathology Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.