Individual provider Active NPI

Laura Hydeman

  • Optometrist
  • Pittsburgh, PA
National Provider Identifier
1831570886
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003033 Issued in PA
Practice address
1201 Banksville Rd
Pittsburgh, PA 15216-3009
Phone
(412) 668-3700
NPI assigned
Jun 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003033 PA Primary

Addresses

Primary practice location

1201 Banksville Rd
Pittsburgh, PA 15216-3009

Mailing address

1201 Banksville Rd
Pittsburgh, PA 15216-3009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190228001294 PA Practitioner - Optometry 8022357565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Pennsylvania Professional IncGroup PAC ID 7719218593, 80 clinicians

Practice addresses (Care Compare)

105 Locust St
Jeannette, PA 15644-2501
Phone (724) 527-5884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Pennsylvania Professional Inc Optometrist CurrentSince Jan 15, 2025 Accepting new patients
Aeg Pennsylvania Professional, Inc Optometrist Past Accepting new patients

Locations

111 E 4th St
Ste 440
Alton, IL 62002

93 W Devon Dr
Ste 101
Exton, PA 19341
Phone (610) 363-8960

105 Locust St
Jeannette, PA 15644
Phone (724) 527-5884

187 Scharberry Ln
Mars, PA 16046
Phone (724) 591-5501

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1831570886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 BANKSVILLE RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152163009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BANKSVILLE RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152163009",
            "telephone_number": "412-668-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDEMAN",
        "first_name": "LAURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.