Active NPI
Gary J. Havranek, O.D.
- Optometrist
- Beaver Falls, PA
National Provider Identifier
1922097153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000663
- Practice address
- 1315 6TH Ave
Beaver Falls, PA 15010-4213 - Phone
- (724) 843-1870
- Fax
- (724) 843-7275
- NPI assigned
- Oct 20, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG000663 | PA | Primary |
Addresses
Primary practice location
1315 6TH Ave
Beaver Falls, PA 15010-4213
Mailing address
1315 6TH Ave
Beaver Falls, PA 15010-4213
Phone (724) 843-1870
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009693170001 | Medicaid | PA | |
| 410001500 | Other | PA | MEDICARE RAILROAD |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Pennsylvania, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Pennsylvania, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Pennsylvania, LLC | Optometrist | Current | Accepting new patients |
Locations
1315 6th Ave
Beaver Falls, PA 15010
Phone (724) 843-1870
125 S Antrim Way
Greencastle, PA 17225
Phone (717) 597-4780
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Carlisle, PA
- NPI 1003264607
-
- Optometrist
- Cranberry Township, PA
- NPI 1093688491
-
- Optometrist
- Lancaster, PA
- NPI 1144717091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195171200000",
"number": "1922097153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 6TH AVE",
"city": "BEAVER FALLS",
"state": "PA",
"postal_code": "150104213",
"telephone_number": "724-843-1870",
"fax_number": "724-843-7275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 6TH AVE",
"city": "BEAVER FALLS",
"state": "PA",
"postal_code": "150104213",
"telephone_number": "724-843-1870",
"fax_number": "724-843-7275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAVRANEK",
"first_name": "GARY",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-20",
"last_updated": "2007-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG000663",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009693170001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "410001500",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaver Falls, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.