Individual provider Active NPI

Brittany Ellyse Hall, OD

  • Optometrist
  • Lock Haven, PA
National Provider Identifier
1932751807
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003581 Issued in PA
Practice address
214 High St Ste a
Lock Haven, PA 17745-3726
Phone
(570) 748-5099
NPI assigned
Jul 11, 2019
Last updated
Jul 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003581 PA Primary

Addresses

Primary practice location

214 High St Ste a
Lock Haven, PA 17745-3726

Mailing address

117 2ND St
Lock Haven, PA 17745-1223
Phone (609) 433-4629

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
I20210408001490 PA Practitioner - Optometry 1254749344 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003581PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Briggsy, P.C. Optometrist CurrentSince Mar 30, 2021 Accepting new patients

Locations

214 High St
#A
Lock Haven, PA 17745
Phone (570) 748-5099

2443 E 3rd St
Williamsport, PA 17701
Phone (570) 326-6100

Organizations & group practices 1

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": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1932751807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 2ND ST",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177451223",
            "telephone_number": "609-433-4629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 HIGH ST STE A",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177453726",
            "telephone_number": "570-748-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "BRITTANY",
        "middle_name": "ELLYSE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lock Haven, PA

Sources for this page

Verify at the official NPI Registry.