Individual provider Active NPI

Christopher Michael Short, O.D.

  • Optometrist
  • Pittsburgh, PA
National Provider Identifier
1871595777
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001171 Issued in PA
Practice address
100 Robinson Center Dr
Suite 2870
Pittsburgh, PA 15205-4831
Phone
(412) 490-0820
Fax
(412) 490-2570
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001171 PA Primary

Addresses

Primary practice location

100 Robinson Center Dr
Suite 2870
Pittsburgh, PA 15205-4831

Mailing address

1311 Bridle TRL
Moon Township, PA 15108-4702
Phone (412) 262-6139

Other identifiers 3

IdentifierTypeStateIssuer
01917852MedicaidPA
SH344195OtherPAHIGHMARK BC/BS
PA7199OtherPAEYEMED

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
I20080616000559 PA Practitioner - Optometry 3870664071 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Pennsylvania Professional IncGroup PAC ID 7719218593, 80 clinicians

Practice addresses (Care Compare)

301 S Hills VLG
Pittsburgh, PA 15241-1400
Phone (412) 854-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Pennsylvania Professional, Inc Optometrist CurrentSince May 3, 2023 Accepting new patients
Aeg Pennsylvania Professional Inc Optometrist CurrentSince Apr 26, 2024 Accepting new patients
Aeg Pennsylvania Professional, Inc Optometrist CurrentSince May 3, 2023 Accepting new patients
West Point Optical Group Optometrist Past Accepting new patients
Aeg Pennsylvania Professional, Inc Optometrist Past Accepting new patients

Locations

111 E 4th St
Ste 440
Alton, IL 62002

93 W Devon Dr
Ste 101
Exton, PA 19341
Phone (610) 363-8960

187 Scharberry Ln
Mars, PA 16046
Phone (724) 591-5501

301 S Hills Vlg
Pittsburgh, PA 15241
Phone (412) 835-4966

301 S Hills Vlg
Ste 2115A
Pittsburgh, PA 15241

4835 Lyndon B Johnson Fwy
Ste 850
Dallas, TX 75244

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871595777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 BRIDLE TRL",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151084702",
            "telephone_number": "412-262-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ROBINSON CENTER DR",
            "address_2": "SUITE 2870",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152054831",
            "telephone_number": "412-490-0820",
            "fax_number": "412-490-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01917852",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS",
            "identifier": "SH344195",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "PA7199",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.