Active NPI
Rebecca Morford, O.D.
- Optometrist
- Butler, PA
National Provider Identifier
1851372445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG001301
- Practice address
- 101 Clearview Cir
Boscov'S Optical
Butler, PA 16001-1576 - Phone
- (724) 285-2139
- Fax
- (724) 283-2084
- NPI assigned
- Nov 9, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG001301 | PA | Primary |
Addresses
Primary practice location
101 Clearview Cir
Boscov'S Optical
Butler, PA 16001-1576
Mailing address
190 Beacon Rd
Renfrew, PA 16053-1206
Phone (724) 822-6179
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03831-001 | Other | PA | DAVIS VISION |
| 205052/102386 | Other | PA | EYEMED/ COLE |
| 656619 | Other | PA | BC/BS INDIVIDUAL |
| 2529139 | Other | PA | AETNA INDIVIDUAL |
| 106109 | Other | PA | BC/BS GROUP |
| 396975 | Other | PA | NVA GROUP |
| 01611137 | Other | PA | GATEWAY |
| 2077435 | Other | PA | AETNA GROUP |
| 0017950990002 | Medicaid | PA | |
| 2518269522A12 | Other | PA | ANTHEM PIN |
| 0016689/ 014829 | Other | PA | DORAL VISION |
| 2518269522A00 | Other | PA | ANTHEM GROUP |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190903000250 | PA | Practitioner - Optometry | 8729317656 | Practice locations: Butler, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG001301 | PA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199664000000",
"number": "1851372445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 BEACON RD",
"city": "RENFREW",
"state": "PA",
"postal_code": "160531206",
"telephone_number": "724-822-6179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CLEARVIEW CIR",
"address_2": "BOSCOV'S OPTICAL",
"city": "BUTLER",
"state": "PA",
"postal_code": "160011576",
"telephone_number": "724-285-2139",
"fax_number": "724-283-2084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORFORD",
"first_name": "REBECCA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-09",
"last_updated": "2008-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG001301",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "03831-001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED/ COLE",
"identifier": "205052/102386",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS INDIVIDUAL",
"identifier": "656619",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA INDIVIDUAL",
"identifier": "2529139",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS GROUP",
"identifier": "106109",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NVA GROUP",
"identifier": "396975",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "01611137",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA GROUP",
"identifier": "2077435",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017950990002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "2518269522A12",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DORAL VISION",
"identifier": "0016689/ 014829",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM GROUP",
"identifier": "2518269522A00",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Butler, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.