Cranberry Eyecare LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG002021 Issued in PA

Legal business name

CRANBERRY EYECARE LLC

Practice address

101 Smith Dr Ste 3
Cranberry TWP, PA 16066-4129

Phone

(724) 776-5888

Fax

(724) 935-2900

NPI assigned

Jun 7, 2007

Organization subpart

No

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

Authorized official

Name

Elmer W Ebeck, ODNPI 1093769911

Title

President/Sole Member

Phone

(724) 776-5888

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elmer W Ebeck, OD

  • Optometrist
  • Cranberry TWP, PA
  • NPI 1093769911
  NPD (past) Authorized official
• Michael David Huet, O.D.

  • Optometrist
  • Bridgeville, PA
  • NPI 1548230964
  NPD (past)

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1841493897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SMITH DR STE 3",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160664129",
            "telephone_number": "724-776-5888",
            "fax_number": "724-935-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SMITH DR STE 3",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160664129",
            "telephone_number": "724-776-5888",
            "fax_number": "724-935-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANBERRY EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "EBECK",
        "authorized_official_first_name": "ELMER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT/SOLE MEMBER",
        "authorized_official_telephone_number": "724-776-5888",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102497110",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zia Cook-Andres, LCSW
• Corissa Angiulli Cook, DC
• Laura Cook
• Megan E Cook, LPC
• Cran-Mars Chiropractic Inc
• Cranberry Internal Medicine Assoc.,LLC
• Cranberry Pediatric Dentistry, PC
• Cranberry Pediatrics PC
• Cranberry Township Emergency Medical Service
• Ryan Cucunato, LMFT

• Optometrist in Cranberry TWP, PA
• Providers in Cranberry TWP, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.