Individual provider Active NPI

Scott A Blaney, O.D.

  • Optometrist
  • Corry, PA
National Provider Identifier
1982645008
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000646 Issued in PA
Practice address
110 E Columbus Ave
Corry, PA 16407-1340
Phone
(814) 664-8676
Fax
(814) 664-8677
NPI assigned
Jun 9, 2006
Last updated
Jan 30, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000646 PA Primary

Addresses

Primary practice location

110 E Columbus Ave
Corry, PA 16407-1340

Mailing address

110 E Columbus Ave
Corry, PA 16407-1340
Phone (814) 664-8676

Other identifiers 1

IdentifierTypeStateIssuer
0015191300008MedicaidPA

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
I20130416000282 PA Practitioner - Optometry 2466429865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

420 N Ctr St
Corry, PA 16407-1204
Phone (814) 664-8676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blaney Vision Center LLC Optometrist CurrentSince Apr 1, 2013 Accepting new patients
Community Eye Care Specialists, P.C. Optometrist PastSince Mar 15, 2001 Accepting new patients
Community Eye Care Specialists P C Past Accepting new patients

Locations

420 N Center St
Corry, PA 16407
Phone (814) 664-8676

148 Meadville St
Edinboro, PA 16412
Phone (814) 734-6161

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, 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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233273600000",
    "number": "1982645008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E COLUMBUS AVE",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071340",
            "telephone_number": "814-664-8676",
            "fax_number": "814-664-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E COLUMBUS AVE",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071340",
            "telephone_number": "814-664-8676",
            "fax_number": "814-664-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANEY",
        "first_name": "SCOTT",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2009-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015191300008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corry, PA

Sources for this page

Verify at the official NPI Registry.