NPIMap

Organization Active NPI

Dr Richard Margerum Optometrist

  • Optometrist
  • Moscow, PA
National Provider Identifier
1962680413
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000593 Issued in PA
Legal business name
DR RICHARD MARGERUM OPTOMETRIST
Practice address
328 N Main St
Moscow, PA 18444
Phone
(570) 842-2400
NPI assigned
Feb 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Authorized official

Name
Dr. Richard Eugnene Margerum, OD
Title
Optometrist
Phone
(570) 842-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG000593 PA Primary

Addresses

Primary practice location

328 N Main St
Moscow, PA 18444

Mailing address

PO Box 747
Moscow, PA 18444
Phone (570) 842-2400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1962680413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 747",
            "city": "MOSCOW",
            "state": "PA",
            "postal_code": "18444",
            "telephone_number": "570-842-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 N MAIN ST",
            "city": "MOSCOW",
            "state": "PA",
            "postal_code": "18444",
            "telephone_number": "570-842-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RICHARD MARGERUM OPTOMETRIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "MARGERUM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "EUGNENE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "570-842-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moscow, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.