Formica Optical Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FORMICA OPTICAL INC.

Practice address

1751 Lyter Dr
Johnstown, PA 15905-1207

Phone

(814) 255-2814

Fax

(814) 255-5890

NPI assigned

Oct 19, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Charles A Formica

Title

President

Phone

(814) 255-2814

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1972592277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 LYTER DR",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159051207",
            "telephone_number": "814-255-2814",
            "fax_number": "814-255-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 LYTER DR",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159051207",
            "telephone_number": "814-255-2814",
            "fax_number": "814-255-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORMICA OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "FORMICA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-255-2814",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016286900002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Howard I Forman, MD
• Jeanne A Foster, LPC
• Kelly Ann Foster
• Jessica Fox, PA-C
• Natasha M Fox, LPC
• James Frampton, MA

• Durable Medical Equipment & Medical Supplies in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.