Individual provider Active NPI

Sharon Marie Hock, OD

  • Optometrist
  • Ebensburg, PA
National Provider Identifier
1952396749
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001771 Issued in PA
Practice address
300 Walmart Dr
Ebensburg, PA 15931-4212
Phone
(814) 674-5914
NPI assigned
Sep 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001771 PA Primary

Addresses

Primary practice location

300 Walmart Dr
Ebensburg, PA 15931-4212

Mailing address

300 Walmart Dr
Ebensburg, PA 15931-4212
Phone (814) 674-5914

Other identifiers 10

IdentifierTypeStateIssuer
139423OtherVAANTHEM BC/BS
542040126OtherVAMAMSI
902137OtherVABLOCK
5886943OtherVACIGNA PPO
7310564OtherVAAETNA PPO
3587408OtherVAAETNA HMO
010083346MedicaidVA
668301OtherVADAVIS VISION
8286906OtherVACIGNA HMO
32750OtherVAAVESIS

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
I20111109000349 PA Practitioner - Optometry 5395795298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christie Cardellino OD LLCGroup PAC ID 6800119421, 3 clinicians

Practice addresses (Care Compare)

2441 Bedford St
Johnstown, PA 15904-1440
Phone (814) 254-4699

414 W High St
Cardellino Eyecare and Optical
Ebensburg, PA 15931-1584
Phone (814) 472-4240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG001771PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Christie Cardellino, OD LLC Optometrist CurrentSince Oct 12, 2023 Accepting new patients
Sarah P. Brannon OD PC Optometrist PastSince Aug 8, 2001 Accepting new patients
Arlow Ophthalmology LLC PastSince Apr 1, 2022 Accepting new patients

Locations

414 W High St
Ebensburg, PA 15931
Phone (724) 463-0286

2441 Bedford St
Johnstown, PA 15904
Phone (814) 242-3334

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188432000000",
    "number": "1952396749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WALMART DR",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314212",
            "telephone_number": "814-674-5914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WALMART DR",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314212",
            "telephone_number": "814-674-5914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOCK",
        "first_name": "SHARON",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-16",
        "last_updated": "2007-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "139423",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "542040126",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK",
            "identifier": "902137",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO",
            "identifier": "5886943",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7310564",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3587408",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010083346",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "668301",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO",
            "identifier": "8286906",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "32750",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ebensburg, PA

Sources for this page

Verify at the official NPI Registry.