NPIMap

Organization Active NPI

Youngwood Eye Care, Inc

  • Optometrist
  • Youngwood, PA
National Provider Identifier
1982887816
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001263 Issued in PA
Legal business name
YOUNGWOOD EYE CARE, INC
Practice address
310 N 3Rd St Unit 1
Youngwood, PA 15697-1614
Phone
(724) 925-2341
Fax
(724) 925-2386
NPI assigned
Dec 13, 2007
Last updated
Apr 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Authorized official

Name
Dr. Michel Luise Maiers, ODNPI 1801966189
Title
Owner
Phone
(412) 657-2858

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001263 PA Primary

Addresses

Primary practice location

310 N 3Rd St Unit 1
Youngwood, PA 15697-1614

Mailing address

310 N 3Rd St Unit 1
Youngwood, PA 15697-1614
Phone (724) 925-2341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180328003093 PA Part B Supplier - Clinic/Group Practice 1052674892 Receives reassigned benefits from 4 practitioners
Practice locations: Youngwood, PA

National Provider Directory

National Provider Directory

Locations

310 N 3rd St
#1
Youngwood, PA 15697
Phone (724) 925-2341

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524441600000",
    "number": "1982887816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N 3RD ST UNIT 1",
            "city": "YOUNGWOOD",
            "state": "PA",
            "postal_code": "156971614",
            "telephone_number": "724-925-2341",
            "fax_number": "724-925-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N 3RD ST UNIT 1",
            "city": "YOUNGWOOD",
            "state": "PA",
            "postal_code": "156971614",
            "telephone_number": "724-925-2341",
            "fax_number": "724-925-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNGWOOD EYE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2018-04-23",
        "status": "A",
        "authorized_official_last_name": "MAIERS",
        "authorized_official_first_name": "MICHEL",
        "authorized_official_middle_name": "LUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-657-2858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngwood, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.