Active NPI
Sharon Marie Hock, OD
- Optometrist
- Ebensburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG001771
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139423 | Other | VA | ANTHEM BC/BS |
| 542040126 | Other | VA | MAMSI |
| 902137 | Other | VA | BLOCK |
| 5886943 | Other | VA | CIGNA PPO |
| 7310564 | Other | VA | AETNA PPO |
| 3587408 | Other | VA | AETNA HMO |
| 010083346 | Medicaid | VA | |
| 668301 | Other | VA | DAVIS VISION |
| 8286906 | Other | VA | CIGNA HMO |
| 32750 | Other | VA | AVESIS |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| OEG001771 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christie Cardellino, OD LLC | Optometrist | Current | Accepting new patients |
| Sarah P. Brannon OD PC | Optometrist | Past | Accepting new patients |
| Arlow Ophthalmology LLC | Past | 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.
-
- Optometrist
- Johnstown, PA
- NPI 1922403849
-
- Ophthalmology Physician
- Johnstown, PA
- NPI 1265172522
-
- Optometrist
- Fredericksburg, VA
- NPI 1669482600
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.