NPIMap

Organization Active NPI

Dr. Suzanne Proleika, O.D.

  • Optometrist
  • Pittston, PA
National Provider Identifier
1902050735
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR. SUZANNE PROLEIKA, O.D.
Practice address
1201 Oak St
Pittston, PA 18640-3798
Phone
(570) 883-9696
Fax
(570) 883-7265
NPI assigned
Nov 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Authorized official

Name
Miss Suzanne Proleika, O.D.NPI 1457442790
Title
Doctor of Optometry/Owner
Phone
(570) 883-9696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1201 Oak St
Pittston, PA 18640-3798

Mailing address

1817 Murray Street
Forty Fort, PA 18704
Phone (570) 883-9696

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1902050735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 MURRAY STREET",
            "city": "FORTY FORT",
            "state": "PA",
            "postal_code": "18704",
            "telephone_number": "570-883-9696",
            "fax_number": "570-883-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 OAK ST",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186403798",
            "telephone_number": "570-883-9696",
            "fax_number": "570-883-7265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SUZANNE PROLEIKA, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "PROLEIKA",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMETRY/OWNER",
        "authorized_official_telephone_number": "570-883-9696",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.