Anthony S. Diecidue P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG002146 Issued in PA

Legal business name

ANTHONY S. DIECIDUE P.C.

Doing business as

Eye Associates of Paupack

Practice address

2571 Rte 6
Suite 1
Hawley, PA 18428

Phone

(570) 226-2400

Fax

(570) 226-2401

NPI assigned

Dec 29, 2016

Last updated

Dec 29, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Joseph Glasner IV, O.D.NPI 1487817896

Title

President

Phone

(570) 226-2400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eye Associates of Paupack Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Anthony S. Diecidue, P.C.

  dba Eye Associates of Monroe County

  • Optometrist
  • Stroudsburg, PA
  • NPI 1962513937

  O20040406000142

  Same enrollment

Tax ID family

Anthony S Diecidue PC2 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.

• Anthony S. Diecidue, P.C.

  dba Austin Eye Associates

  • Corneal and Contact Management Optometrist
  • Peckville, PA
  • NPI 1629762067
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Joseph Glasner IV, O.D.

  • Corneal and Contact Management Optometrist
  • Stroudsburg, PA
  • NPI 1487817896
  NPD Authorized official

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1932644960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 MAIN ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602575",
            "telephone_number": "570-226-2400",
            "fax_number": "570-226-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2571 RTE 6",
            "address_2": "SUITE 1",
            "city": "HAWLEY",
            "state": "PA",
            "postal_code": "18428",
            "telephone_number": "570-226-2400",
            "fax_number": "570-226-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY S. DIECIDUE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "GLASNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-226-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007411850003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Associates of Paupack",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• About Face Orthodontics, PC
• Apex EMS, Inc
• At Home Quality Care
• Averstin Eye Group LLC
• Samik Basu, M.D.
• Taryn Ann Berry, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.