Balitski Vision PC
Organization Active NPI Optometrist · Monaca, PA
NPI 1891711537 · NPPES record last updated Mar 29, 2012
Key facts
- NPI
- 1891711537
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- OEG000676 (PA)
- Legal business name
- BALITSKI VISION PC
- Practice address
- 3468 Brodhead Rd
Suite One
Monaca, PA 15061-3149 - Phone
- (724) 775-2021
- Fax
- (724) 775-2025
- NPI assigned
- Jul 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Thomas G Balitski, O.D.
- Title
- President
- Phone
- (724) 775-2021
Practitioners 3
-
Thomas Balitski, OD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050419001267 | PA | Part B Supplier - Clinic/Group Practice | 1355389511 |
Receives reassigned benefits from 1 practitioner Practice locations: Washington, PA |
National Provider Directory
Locations
3468 Brodhead Rd
Ste 1
Monaca, PA 15061
Phone (724) 775-2021
400 Locust Ave
Ste 2
Washington, PA 15301
Phone (724) 228-1028
199 N Franklin St
Washington, PA 15301
Phone (724) 225-9030
1500 W Chestnut St
Ste 700
Washington, PA 15301
Phone (724) 228-1028
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | OEG000676 | PA | Yes |
Addresses
Primary practice location
3468 Brodhead Rd
Suite One
Monaca, PA 15061-3149
Mailing address
3468 Brodhead Rd
Suite One
Monaca, PA 15061-3149
Phone (724) 775-2021
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1266939001 | Medicaid | PA |
Other providers in Monaca, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2012. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.