Organization Active NPI

Your Family Eye Doctors, Inc

  • Optometrist
  • Irwin, PA
National Provider Identifier
1831343664
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000583 Issued in PA
Legal business name
YOUR FAMILY EYE DOCTORS, INC
Practice address
3520 Route 130
2001
Irwin, PA 15642-1438
Phone
(724) 744-7000
Fax
(724) 744-7001
NPI assigned
Nov 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Authorized official

Name
Dr. Justine A Cakanac, O.D.
Title
President
Phone
(724) 864-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG000583 PA Primary

Addresses

Primary practice location

3520 Route 130
2001
Irwin, PA 15642-1438

Mailing address

8775 Norwin Ave
N Huntingdon, PA 15642-2718
Phone (724) 864-7777

Other identifiers 1

IdentifierTypeStateIssuer
704404OtherPAHIGHMARK BLUE CROSS/BLUE SHIELD

National Provider Directory

National Provider Directory
Tax ID family
Your Family Eye Doctors Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3520 Route 130
Ste 2001
Irwin, PA 15642
Phone (724) 744-7000

NPI Registry JSON

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1831343664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8775 NORWIN AVE",
            "city": "N HUNTINGDON",
            "state": "PA",
            "postal_code": "156422718",
            "telephone_number": "724-864-7777",
            "fax_number": "724-864-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 ROUTE 130",
            "address_2": "2001",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156421438",
            "telephone_number": "724-744-7000",
            "fax_number": "724-744-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR FAMILY EYE DOCTORS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "CAKANAC",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-864-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS/BLUE SHIELD",
            "identifier": "704404",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irwin, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.