John D Clouser, OD
Individual provider Active NPI Optometrist · West Chester, PA
NPI 1861470189 · NPPES record last updated Mar 17, 2016
Key facts
- NPI
- 1861470189
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 0E5207P (PA)
- Practice address
- 929 S High St
West Chester, PA 19382-5466 - Phone
- (610) 696-1415
- Fax
- (610) 696-8308
- NPI assigned
- Jan 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110106000427 | PA | Practitioner - Optometry | 5294924205 |
Reassigns benefits to 1 organization Practice locations: West Chester, PA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0E5207P | PA | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 580000571 | Other | PA | RAILROAD MEDICARE |
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
- Emily Close
- David S. Cluck
- Jennifer Lynne Coates
- Grace Cochrane
- Adam Coffee-Davis
- Rebecca Ann Coffey
All providers in West Chester, PA · Optometrist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.