Family Vision Care Associates, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000398 Issued in PA

Legal business name

FAMILY VISION CARE ASSOCIATES, PC

Doing business as

Lakeside Family Vision Care

Practice address

74 Welwood Ave
Suite 102
Hawley, PA 18428-1577

Phone

(570) 266-1300

Fax

(570) 266-3800

NPI assigned

Oct 17, 2006

Last updated

Jun 4, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amy Neal, ODNPI 1851480750

Title

Co Owner

Phone

(570) 266-1300

Specialties & licenses 1

Addresses

Other names 1

• Lakeside Family Vision Care Doing business as

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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.

• Amy M Neal, OD

  • Optometrist
  • Hawley, PA
  • NPI 1851480750
  Medicare reassignment NPD Authorized official
• Michael R Neal, OD

  • Optometrist
  • Hawley, PA
  • NPI 1720177538
  Medicare reassignment NPD

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1831270115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 WELWOOD AVE",
            "address_2": "SUITE 102",
            "city": "HAWLEY",
            "state": "PA",
            "postal_code": "184281577",
            "telephone_number": "570-266-1300",
            "fax_number": "570-266-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 WELWOOD AVE",
            "address_2": "SUITE 102",
            "city": "HAWLEY",
            "state": "PA",
            "postal_code": "184281577",
            "telephone_number": "570-266-1300",
            "fax_number": "570-266-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY VISION CARE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "570-266-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Family Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Louise Eitelberg, M.A. CCC-SLP
• Elizabeth Ciaravino, PH.D.
• Elmtree Wellness Center, Inc.
• May Eng-Barrett, DDS
• John Evanish III, D.D.S
• Joyce Cindy Figueroa, DDS
• Heidi Ellen Fox, LCSW
• Quinn Fricke, M.S., CCC-SLP
• Angela J Fucci, LCSW
• Catherine A Gandolfo, MS

• Optometrist in Hawley, PA
• Providers in Hawley, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.