Active NPI
Jospeh S Ieni, OD
- Optometrist
- Johnstown, PA
National Provider Identifier
1992895957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000623
- Practice address
- 410 Theatre Dr
Johnstown, PA 15904-2817 - Phone
- (814) 269-3660
- Fax
- (814) 269-2229
- NPI assigned
- Oct 13, 2006
- 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 | OEG000623 | PA | Primary |
Addresses
Primary practice location
410 Theatre Dr
Johnstown, PA 15904-2817
Mailing address
410 Theatre Dr
Johnstown, PA 15904-2817
Phone (814) 269-3660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG000623 | PA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459123200000",
"number": "1992895957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 THEATRE DR",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159042817",
"telephone_number": "814-269-3660",
"fax_number": "814-269-2229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 THEATRE DR",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159042817",
"telephone_number": "814-269-3660",
"fax_number": "814-269-2229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IENI",
"first_name": "JOSPEH",
"middle_name": "S",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2016-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG000623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.