Organization Active NPI

Strohecker Vision Care, Inc

  • Optometrist
  • Mansfield, PA
National Provider Identifier
1831132158
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000261 Issued in PA
Legal business name
STROHECKER VISION CARE, INC
Practice address
8 S Main St
Mansfield, PA 16933-1508
Phone
(570) 662-3891
Fax
(570) 662-3460
NPI assigned
Jun 14, 2006
Last updated
Nov 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Mr. Robert D Strohecker, O.D.NPI 1124013453
Title
Owner/Doctor
Phone
(570) 662-3891

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG000261 PA Primary

Addresses

Primary practice location

8 S Main St
Mansfield, PA 16933-1508

Mailing address

8 S Main St
Mansfield, PA 16933-1508
Phone (570) 662-3891

Other identifiers 3

IdentifierTypeStateIssuer
0012660350003MedicaidPA
410015056OtherPARAILROAD MEDICARE
677570OtherPABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040608000833 PA Part B Supplier - Clinic/Group Practice 0446233860 Receives reassigned benefits from 2 practitioners
Practice locations: Elkland, PA; Mansfield, PA
O20100930042773 PA DME Supplier - Physician - OptometristDME Supplier - Optician 0446233860 Practice locations: Mansfield, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1831132158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 S MAIN ST",
            "city": "MANSFIELD",
            "state": "PA",
            "postal_code": "169331508",
            "telephone_number": "570-662-3891",
            "fax_number": "570-662-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 S MAIN ST",
            "city": "MANSFIELD",
            "state": "PA",
            "postal_code": "169331508",
            "telephone_number": "570-662-3891",
            "fax_number": "570-662-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STROHECKER VISION CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "STROHECKER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "570-662-3891",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012660350003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410015056",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "677570",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.