Individual provider Active NPI

Nicholas F. Darbenzio, O.D.

  • Corneal and Contact Management Optometrist
  • Dupont, PA
National Provider Identifier
1871507590
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OEG000120 Issued in PA
Practice address
345 Main St
Dupont, PA 18641-1448
Phone
(570) 602-9607
NPI assigned
Jul 28, 2006
Last updated
Jul 7, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OEG000120 PA Primary

Addresses

Primary practice location

345 Main St
Dupont, PA 18641-1448

Mailing address

406 Penn Ave
Dupont, PA 18641-2020
Phone (570) 602-9607

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040618000123 PA Practitioner - Optometry 3870577554 Reassigns benefits to 1 organization
Practice locations: Dupont, PA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Ohora Eye Care Center IncGroup PAC ID 9537132105, 3 clinicians

Practice addresses (Care Compare)

1402 Washburn St
Scranton, PA 18504-2429
Phone (570) 343-2591

602 S State St
Clarks Summit, PA 18411-1704
Phone (570) 586-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ohora Eye Care Center Inc Corneal and Contact Management CurrentSince Jun 22, 1999 Accepting new patients
Ohora Eye Care Center Inc Past Accepting new patients
Ben Domiano Optical Incorporated PastSince Jan 10, 2017 Accepting new patients
Ben Domiano Optical Center LLC Past Accepting new patients

Locations

602 S State St
Clarks Summit, PA 18411
Phone (570) 586-2020

1402 Washburn St
Scranton, PA 18504
Phone (570) 343-2591

Interoperability endpoints

  • Direct secure messaging: nicholas.darbenzio.p7@direct.grophthalmology.nextgenshare.com

Organizations & group practices 4

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1871507590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 PENN AVE",
            "city": "DUPONT",
            "state": "PA",
            "postal_code": "186412020",
            "telephone_number": "570-602-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 MAIN ST",
            "city": "DUPONT",
            "state": "PA",
            "postal_code": "186411448",
            "telephone_number": "570-602-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARBENZIO",
        "first_name": "NICHOLAS",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "PA",
            "license": "OEG000120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dupont, PA

Sources for this page

Verify at the official NPI Registry.