Organization Active NPI

Lushko Eyecare PC

Doing business as Eye Care Center West

  • Optometrist
  • McKees Rocks, PA
National Provider Identifier
1902403256
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LUSHKO EYECARE PC
Doing business as
Eye Care Center West
Practice address
6080 Steubenville Pike
MC Kees Rocks, PA 15136-1398
Phone
(412) 787-2666
Fax
(412) 787-3415
NPI assigned
Oct 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Authorized official

Name
Meredith Stohler
Title
Manager
Phone
(402) 504-4680

Specialties & licenses 1

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

Addresses

Primary practice location

6080 Steubenville Pike
MC Kees Rocks, PA 15136-1398

Mailing address

6080 Steubenville Pike
MC Kees Rocks, PA 15136-1398
Phone (412) 787-2666

Other names 1

  • Eye Care Center West Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210304000923 PA Part B Supplier - Clinic/Group Practice 8628484359 Receives reassigned benefits from 1 practitioner
Practice locations: MC Kees Rocks, PA

National Provider Directory

National Provider Directory

Locations

6080 Steubenville Pike
Ste 708
Mc Kees Rocks, PA 15136
Phone (412) 787-2666

6080 Steubenville Pike
Mc Kees Rocks, PA 15136
Phone (402) 504-4680

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1902403256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 STEUBENVILLE PIKE",
            "city": "MC KEES ROCKS",
            "state": "PA",
            "postal_code": "151361398",
            "telephone_number": "412-787-2666",
            "fax_number": "412-787-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 STEUBENVILLE PIKE",
            "city": "MC KEES ROCKS",
            "state": "PA",
            "postal_code": "151361398",
            "telephone_number": "412-787-2666",
            "fax_number": "412-787-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUSHKO EYECARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "STOHLER",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "402-504-4680"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Care Center West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McKees Rocks, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.