Individual provider Active NPI

H Arnold Papernick, OD

  • Optometrist
  • Mt Pleasant, PA
National Provider Identifier
1922094713
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OE4389 T Issued in PA
Practice address
705 W Main St
Mount Pleasant, PA 15666-1803
Phone
(724) 547-5711
Fax
(724) 547-2022
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OE4389 T PA Primary

Addresses

Primary practice location

705 W Main St
Mount Pleasant, PA 15666-1803

Mailing address

705 W Main St
Mount Pleasant, PA 15666-1803
Phone (724) 547-5711

Other identifiers 1

IdentifierTypeStateIssuer
0005453690001MedicaidPA

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
I20100330001175 PA Practitioner - Optometry 8820124738 Practice locations: Mount Pleasant, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OE4389 TPAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1922094713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 W MAIN ST",
            "city": "MOUNT PLEASANT",
            "state": "PA",
            "postal_code": "156661803",
            "telephone_number": "724-547-5711",
            "fax_number": "724-547-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 W MAIN ST",
            "city": "MOUNT PLEASANT",
            "state": "PA",
            "postal_code": "156661803",
            "telephone_number": "724-547-5711",
            "fax_number": "724-547-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPERNICK",
        "first_name": "H ARNOLD",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE4389 T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005453690001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, PA

Sources for this page

Verify at the official NPI Registry.