Christie Cardellino, OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG002500 Issued in PA

Legal business name

CHRISTIE CARDELLINO, OD LLC

Practice address

2441 Bedford St
Johnstown, PA 15904-1440

Phone

(814) 242-3334

NPI assigned

Nov 4, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Christie Cardellino, ODNPI 1619264454

Title

Owner

Phone

(814) 242-3334

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christie Cardellino, O.D.

  • Optometrist
  • Johnstown, PA
  • NPI 1619264454
  Medicare reassignment Care Compare group NPD Authorized official
• Kia Boroumand, OD

  • Optometrist
  • Ebensburg, PA
  • NPI 1295258465
  Medicare reassignment Care Compare group NPD
• Sharon Marie Hock, OD

  • Optometrist
  • Ebensburg, PA
  • NPI 1952396749
  Medicare reassignment Care Compare group NPD
• Joseph Ozbold, O.D.

  • Optometrist
  • Ebensburg, PA
  • NPI 1750722575
  Medicare reassignment NPD

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1922403849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 BEDFORD ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159041440",
            "telephone_number": "814-242-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 BEDFORD ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159041440",
            "telephone_number": "814-242-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIE CARDELLINO, OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "CARDELLINO",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-242-3334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026684310009",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruth N Cho, D.O.
• Elizabeth Chobany
• Choice Home Dialysis,LLC
• Choices Clinical Counseling, LLC
• Zafar Iqbal Chowdhry, MD
• Samantha Ann Christner
• Amanda Marie Chumrik, OT
• Timothy R Chung, DO
• Sebastian J. Ciacchella, MD
• Alicia Joy Ciarimboli, RN

• Optometrist in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.