John Maxwell Ciummei, O.D.
Individual provider Active NPI Optometrist · Winfield, PA
NPI 1922112663 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1922112663
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OEG000171 (PA)
- Practice address
- 1121 Westbranch Hwy
Winfield, PA 17889-9253 - Phone
- (570) 523-1533
- Fax
- (570) 523-0040
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1121 W Branch Hwy
Winfield, PA 17889-9253
1121 Westbranch Hwy
Winfield, PA 17889-9253
Phone (570) 523-1533
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080103000041 | PA | Practitioner - Optometry | 5092895052 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wynwood Eye Clinic, Inc | Optometrist | Current |
Accepting new patients |
Locations
1121 Westbranch Hwy
Winfield, PA 17889
Phone (570) 523-1533
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG000171 | PA | Yes |
Addresses
Primary practice location
1121 Westbranch Hwy
Winfield, PA 17889-9253
Mailing address
117 Hawthorne Dr
Lewisburg, PA 17837-6660
Phone (570) 524-0212
Other providers in Winfield, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.