Active NPI
John D Clouser, OD
- Optometrist
- West Chester, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0E5207P
- Practice address
- 929 S High St
West Chester, PA 19382-5466 - Phone
- (610) 696-1415
- Fax
- (610) 696-8308
- NPI assigned
- Jan 6, 2006
- Last updated
- Mar 17, 2016
- Sex
- Male
- Sole proprietor
- No
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 | 0E5207P | PA | Primary |
Addresses
Primary practice location
929 S High St
West Chester, PA 19382-5466
Mailing address
929 S High St
West Chester, PA 19382-5466
Phone (610) 696-1415
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 580000571 | Other | PA | RAILROAD MEDICARE |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0E5207P | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independence Corporation | Optometrist | Current | Accepting new patients |
| Independence Corporation | Optometrist | Current | Accepting new patients |
Locations
1900 W Front St
Berwick, PA 18603
Phone (570) 759-2325
4301 Penn Ave
Ste E
Sinking Spring, PA 19608
Phone (610) 670-2020
4447 5th Street Hwy
Temple, PA 19560
Phone (610) 921-5140
2274 MacArthur Rd
Whitehall, PA 18052
Phone (610) 432-3937
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458172800000",
"number": "1861470189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 S HIGH ST",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193825466",
"telephone_number": "610-696-1415",
"fax_number": "610-696-8308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 S HIGH ST",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193825466",
"telephone_number": "610-696-1415",
"fax_number": "610-696-8308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOUSER",
"first_name": "JOHN",
"middle_name": "D",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-06",
"last_updated": "2016-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "0E5207P",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "580000571",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Chester, PA
- Clinical Care Associates of the University of
- Clinical Care Associates of the University of Pennsylvania Health
- Clinical Care Associates of the University of Pennsylvania Health
- Clompus and Reto Vision P C (Clompus, Reto & Halscheid Vision Associates)
- Emily Close
- David S. Cluck, ATC, PTA
- Jennifer Lynne Coates, CRNP
- Grace Cochrane
- Adam Coffee-Davis
- Rebecca Ann Coffey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.