Organization Active NPI

Community Eye Care Associates

  • Optometrist
  • West Mifflin, PA
National Provider Identifier
1902825086
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
COMMUNITY EYE CARE ASSOCIATES
Practice address
2027 Lebanon Church Rd
West Mifflin, PA 15122-2461
Phone
(412) 655-6496
Fax
(412) 655-6513
NPI assigned
Jul 19, 2006
Last updated
Dec 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Authorized official

Name
Jacquelyn W. Szwaczkowski
Title
Practice Manager
Phone
(412) 655-6443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

2027 Lebanon Church Rd
West Mifflin, PA 15122-2461

Mailing address

2027 Lebanon Church Rd
West Mifflin, PA 15122-2461
Phone (412) 655-6496

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040810000202 PA Part B Supplier - Clinic/Group Practice 6305818493 Receives reassigned benefits from 2 practitioners
Practice locations: Monongahela, PA; West Mifflin, PA

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, 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": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1902825086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 LEBANON CHURCH RD",
            "city": "WEST MIFFLIN",
            "state": "PA",
            "postal_code": "151222461",
            "telephone_number": "412-655-6496",
            "fax_number": "412-655-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 LEBANON CHURCH RD",
            "city": "WEST MIFFLIN",
            "state": "PA",
            "postal_code": "151222461",
            "telephone_number": "412-655-6496",
            "fax_number": "412-655-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY EYE CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "SZWACZKOWSKI",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "412-655-6443"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Mifflin, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.