Active NPI
Scott A Blaney, O.D.
- Optometrist
- Corry, PA
National Provider Identifier
1982645008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000646
- 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, 2009
- Sex
- Male
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015191300008 | Medicaid | PA |
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
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blaney Vision Center LLC | Optometrist | Current | Accepting new patients |
| Community Eye Care Specialists, P.C. | Optometrist | Past | 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.
-
- Optometrist
- Corry, PA
- NPI 1245578418
-
dba Gateway Ophthalmology
- Ophthalmology Physician
- Jamestown, NY
- NPI 1659187177
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.