Organization Active NPI

Frederic a. Neistadt O.D.

  • Optometrist
  • Allentown, PA
National Provider Identifier
1881862696
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000893 Issued in PA
Legal business name
FREDERIC A. NEISTADT O.D.
Practice address
2200 W Hamilton St
Suite 300
Allentown, PA 18104-6337
Phone
(610) 437-0717
Fax
(610) 437-3741
NPI assigned
Feb 14, 2008
Last updated
Feb 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Mrs. Laurie Velazquez, NRCMA
Title
Office Manager
Phone
(610) 437-0717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000893 PA Primary

Addresses

Primary practice location

2200 W Hamilton St
Suite 300
Allentown, PA 18104-6337

Mailing address

2200 W Hamilton St
Suite 300
Allentown, PA 18104-6337
Phone (610) 437-0717

National Provider Directory

National Provider Directory

Locations

2200 Hamilton St
Ste 300
Allentown, PA 18104
Phone (215) 437-0717

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1881862696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 W HAMILTON ST",
            "address_2": "SUITE 300",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046337",
            "telephone_number": "610-437-0717",
            "fax_number": "610-437-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W HAMILTON ST",
            "address_2": "SUITE 300",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046337",
            "telephone_number": "610-437-0717",
            "fax_number": "610-437-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERIC A. NEISTADT O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "VELAZQUEZ",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-437-0717",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NRCMA"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.