Individual provider Active NPI

James Polleck Tuttle

  • Optometrist
  • York, PA
National Provider Identifier
1952334351
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000113 Issued in PA
Practice address
2050 E Market St
York, PA 17402-2844
Phone
(717) 755-6906
Fax
(717) 840-4847
NPI assigned
Jul 8, 2006
Last updated
Jan 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 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 OEG000113 PA Primary

Addresses

Primary practice location

2050 E Market St
York, PA 17402-2844

Mailing address

2050 E Market St
York, PA 17402-2844
Phone (717) 755-6906

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
I20091009000289 PA Practitioner - Optometry 1658319090 Reassigns benefits to 1 organization
Practice locations: Manchester, PA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sans Pareil EyecareGroup PAC ID 7012172869, 17 clinicians

Practice addresses (Care Compare)

2321 E Market St
York Eye Associates
York, PA 17402-2860
Phone (717) 455-1828

234 Rosedale Dr
Manchester, PA 17345-1023
Phone (717) 266-5661

25 State Ave
Carlisle, PA 17013-4420
Phone (717) 249-4948

3094 Cape Horn Rd
Red Lion, PA 17356-9068
Phone (717) 246-3041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000113PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sans Pareil Eyecare Optometrist CurrentSince Jul 1, 2012 Accepting new patients

Locations

25 State Ave
Carlisle, PA 17013
Phone (717) 220-8980

234 Rosedale Dr
Manchester, PA 17345
Phone (717) 266-5661

100 N Walnut St
Mechanicsburg, PA 17055
Phone (717) 628-3693

2321 E Market St
York, PA 17402
Phone (717) 455-1828

Organizations & group practices 2

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1952334351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 E MARKET ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022844",
            "telephone_number": "717-755-6906",
            "fax_number": "717-840-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 E MARKET ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022844",
            "telephone_number": "717-755-6906",
            "fax_number": "717-840-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTTLE",
        "first_name": "JAMES",
        "middle_name": "POLLECK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.