Individual provider Active NPI

John J Martinelli, OD

  • Optometrist
  • Charleroi, PA
National Provider Identifier
1932180965
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEP008552 Issued in PA
Practice address
303 1St St
Charleroi, PA 15022-1427
Phone
(724) 483-3675
Fax
(724) 483-0404
NPI assigned
Nov 8, 2005
Last updated
Jan 8, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEP008552 PA Primary

Addresses

Primary practice location

303 1St St
Charleroi, PA 15022-1427

Mailing address

PO Box 526
Belle Vernon, PA 15012-0526
Phone (724) 483-3675

Other identifiers 1

IdentifierTypeStateIssuer
0010361420001MedicaidPA

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
I20051027000441 PA Practitioner - Optometry 7618945650 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Eyecare Solutions LLC Optometrist CurrentSince Dec 4, 1978 Accepting new patients
John J Martinelli OD LTD Optometrist PastSince Jul 1, 1973 Accepting new patients
Tri State Lasik and Cataract Centers LLC PastSince Dec 4, 2008 Accepting new patients
Invision Medical, LLC Optometrist PastSince Apr 15, 2026 Accepting new patients

Locations

303 1st St
Charleroi, PA 15022
Phone (724) 483-3675

107 Matthew Dr
Uniontown, PA 15401
Phone (724) 437-6000

630 Cherry Tree Ln
Uniontown, PA 15401
Phone (724) 439-0308

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1932180965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 526",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150120526",
            "telephone_number": "724-483-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 1ST ST",
            "city": "CHARLEROI",
            "state": "PA",
            "postal_code": "150221427",
            "telephone_number": "724-483-3675",
            "fax_number": "724-483-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINELLI",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEP008552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010361420001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleroi, PA

Sources for this page

Verify at the official NPI Registry.