Individual provider Active NPI

Zoe R Phillips Connacher, O.D.

  • Optometrist
  • Altoona, PA
National Provider Identifier
1902194483
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002486 Issued in PA
Practice address
2907 Pleasant Valley Blvd
Altoona, PA 16602-4305
Phone
(814) 943-8164
NPI assigned
Jul 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002486 PA Primary

Addresses

Primary practice location

2907 Pleasant Valley Blvd
Altoona, PA 16602-4305

Mailing address

529 Garber St
Hollidaysburg, PA 16648-1539
Phone (814) 931-6598

Other identifiers 1

IdentifierTypeStateIssuer
103027243MedicaidPA

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
I20150507001412 PA Practitioner - Optometry 0446579783 Reassigns benefits to 3 organizations
Practice locations: Altoona, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG002486PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Barnes Optometry, P.C CurrentSince May 1, 2016 Accepting new patients
Feltz Optometry of PA LLC Optometrist CurrentSince Apr 24, 2018 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Feb 21, 2016 Accepting new patients
Visionworks, Inc CurrentSince Feb 21, 2016 Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

560 Millcreek Mall
Erie, PA 16565
Phone (814) 868-8540

805 S Logan Blvd
Hollidaysburg, PA 16648
Phone (814) 942-7184

2300 E Lincoln Hwy
Langhorne, PA 19047
Phone (215) 750-3760

489 Castle Shannon Blvd
Pittsburgh, PA 15234
Phone (412) 257-2050

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": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1902194483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 GARBER ST",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166481539",
            "telephone_number": "814-931-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 PLEASANT VALLEY BLVD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024305",
            "telephone_number": "814-943-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS CONNACHER",
        "first_name": "ZOE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103027243",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.