Organization Active NPI

Your Family Eye Doctors, Inc.

  • Optometrist
  • Cranberry TWP, PA
National Provider Identifier
1922252758
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000583 Issued in PA
Legal business name
YOUR FAMILY EYE DOCTORS, INC.
Practice address
20475 Route 19
Cranberry TWP, PA 16066-7529
Phone
(724) 776-1079
Fax
(724) 742-1233
NPI assigned
Nov 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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

Authorized official

Name
Dr. Justine A Cakanac, O.D.
Title
President
Phone
(724) 864-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG000583 PA Primary

Addresses

Primary practice location

20475 Route 19
Cranberry TWP, PA 16066-7529

Mailing address

8775 Norwin Ave
N Huntingdon, PA 15642-2718
Phone (724) 864-7777

Other identifiers 1

IdentifierTypeStateIssuer
704404OtherPAHIGHMARK BLUE CROSS/BLUE SHIELD

National Provider Directory

National Provider Directory
Tax ID family
Your Family Eye Doctors Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1922252758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8775 NORWIN AVE",
            "city": "N HUNTINGDON",
            "state": "PA",
            "postal_code": "156422718",
            "telephone_number": "724-864-7777",
            "fax_number": "724-864-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20475 ROUTE 19",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160667529",
            "telephone_number": "724-776-1079",
            "fax_number": "724-742-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR FAMILY EYE DOCTORS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "CAKANAC",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-864-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS/BLUE SHIELD",
            "identifier": "704404",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry TWP, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.