James A. Porubiansky, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OE005283T Issued in PA

Practice address

770 Norman Dr
Lebanon, PA 17042-7495

Phone

(717) 272-2161

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246924800000",
    "number": "1992863427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 PARKSIDE DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170424014",
            "telephone_number": "717-270-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 NORMAN DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427495",
            "telephone_number": "717-272-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORUBIANSKY",
        "first_name": "JAMES",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2009-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE005283T",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "PA",
            "license": "OE005283T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01725020",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charity Raquel Polydore, BSN
• Cheyenne Kiley Port, MSW, LCSW
• Jessica R. Portas, LSW
• Louis John Portas Jr., PHARM.D.
• Lynee K Porter, CRNA
• Michael Posivak
• Shekhar Prasai, MD
• Nicole Kathleen Prentice, CPHT
• Dara Prescott, BS
• Harry Singh Prihar, O.O.

• Optometrist in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.