Organization Active NPI

Michele L Hanley, OD

  • Optometrist
  • Irwin, PA
National Provider Identifier
1851699318
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG00394 Issued in PA
Legal business name
MICHELE L HANLEY, OD
Practice address
511 Main St
Irwin, PA 15642-3404
Phone
(724) 863-3116
Fax
(724) 863-2489
NPI assigned
Mar 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Authorized official

Name
Michele L Hanley, OD
Title
Owner
Phone
(724) 863-3116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG00394 PA Primary

Addresses

Primary practice location

511 Main St
Irwin, PA 15642-3404

Mailing address

511 Main St
Irwin, PA 15642-3404
Phone (724) 863-3116

Other identifiers 1

IdentifierTypeStateIssuer
001672482-002MedicaidPA

Other names 1

  • Irwin Eye Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1851699318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 MAIN ST",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156423404",
            "telephone_number": "724-863-3116",
            "fax_number": "724-863-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 MAIN ST",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156423404",
            "telephone_number": "724-863-3116",
            "fax_number": "724-863-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE L HANLEY, OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "HANLEY",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-863-3116",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG00394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001672482-002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Irwin Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 8, 2011; 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.