NORTHEASTERN EYE INSTITUTE (NPI# 1194827568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194827568 |
| Entity Type | Organization |
| Organization Name | NORTHEASTERN EYE INSTITUTE |
| Practice Address |
200 Mifflin Ave Scranton PA 18503 |
| Practice Telephone | 5703423145 |
| Mailing Telephone | 5703423145 |
| Mailing Fax Number | 5703441309 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2019-11-04 |
| Authorized Official Name | JEROME W JORDAN (MEMBER BOARD OF DIRECTORS) |
| Authorized Official Telephone | 5703423145 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366554172 | Northeastern Eye Institute | Optometrist | 200 Mifflin Ave, Scranton, PA 18503 | 2006-08-31 |
| Street Address |
200 MIFFLIN AVE |
| City | SCRANTON |
| State | PA |
| Zip Code | 18503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053362574 | Christopher Shannon Jordan | Ophthalmology | 200 Mifflin Ave, Scranton, PA 18503-1982 | 2006-05-12 |
| 1902383599 | Alexa Golecki | Optometrist | 200 Mifflin Ave, Scranton, PA 18503-1982 | 2018-07-26 |
| 1164872727 | Emily A Jones | Optometrist | 200 Mifflin Ave, Scranton, PA 18503 | 2016-06-14 |
| 1083052286 | Natalie M Boyce | Optometrist | 200 Mifflin Ave, Scranton, PA 18503 | 2013-06-10 |
| 1407142771 | Jennifer A Yeselavage Lewczuk | Optometrist | 200 Mifflin Ave, Scranton, PA 18503 | 2011-06-24 |
| 1821232265 | Joseph Giacometti | Ophthalmology | 200 Mifflin Ave, Scranton, PA 18503-1982 | 2009-04-29 |
| 1114180783 | Megan Walsh | Optometrist | 200 Mifflin Ave, Scranton, PA 18503-1982 | 2008-07-03 |
| 1497857866 | Jennifer Randle | Optometrist | 200 Mifflin Ave, Scranton, PA 18503 | 2006-09-05 |
| 1003918475 | Randall R Peairs | Ophthalmology | 200 Mifflin Ave, Scranton, PA 18503 | 2006-09-05 |
| 1922110766 | William J Jordan Jr. | Ophthalmology | 200 Mifflin Ave, Scranton, PA 18503 | 2006-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578124624 | Vishwadhipa Venkata Voore | Student in an Organized Health Care Education/Training Program | 111 North Washington Avenue, The Wright Center for Grad, Suite 1, Scranton, PA 18503 | 2019-06-27 |
| 1841859717 | Sreekant Avula | Student in an Organized Health Care Education/Training Program | 111 North Washington Avenue, The Wright Center for Gra, Suite 1, Scranton, PA 18503 | 2019-06-13 |
| 1942866124 | Kashyap Devendrabhai Kela | Student in an Organized Health Care Education/Training Program | 111 North Washington Avenue, The Wright Center, Suite 1, Scranton, PA 18503 | 2019-05-14 |
| 1265097778 | Mary Ann Sheerer | Registered Nurse | Geisinger Women's Health Obgyn Clinic, 531 Mount Pleasant Drive, 2nd Floor, Scranton, PA 18503 | 2019-05-09 |
| 1164913950 | Nirajan Regmi | Student in an Organized Health Care Education/Training Program | 111 N Washington Avenue, Scranton, PA 18503 | 2018-05-29 |
| 1801387394 | Talha Zain Tariq | Internal Medicine | 111 N Washington Ave., Scranton, PA 18503 | 2018-05-21 |
| 1013407253 | Ashwin Thatti | Student in an Organized Health Care Education/Training Program | 111 N. Washington Avenue, Scranton, PA 18503 | 2018-05-14 |
| 1972093474 | Anjalika Gupta | Student in an Organized Health Care Education/Training Program | The Wright Center for Graduate Medical Education, 111 N Washington Ave, Scranton, PA 18503 | 2018-05-10 |
| 1073002085 | Mousa Thalji | Student in an Organized Health Care Education/Training Program | 111 N. Washington Ave., Scranton, PA 18503 | 2018-05-04 |
| 1861999849 | Tomara Wilding | Counselor | 201 Lackawanna Ave Ste 302, Scranton, PA 18503 | 2018-04-06 |
| Find all providers in zip 18503 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811009640 | Michael W Rosiecki | Ophthalmology | 1360 Wyoming Ave, Scranton, PA 18509 | 2006-08-31 |
| 1043223183 | William H Kehrli | Ophthalmology | 200 Mifflin Avenue, Scranton, PA 18503 | 2006-08-13 |
| 1053362574 | Christopher Shannon Jordan | Ophthalmology | 200 Mifflin Ave, Scranton, PA 18503-1982 | 2006-05-12 |
| 1720075310 | Steven Vale | Ophthalmology | 4 Meadow Ave, Scranton, PA 18505-2337 | 2005-09-29 |
| 1720622160 | Vision Innovation Centers of Pa LLC | Ophthalmology | 425 Adams Ave, Scranton, PA 18510-2001 | 2019-10-29 |
| 1821232265 | Joseph Giacometti | Ophthalmology | 200 Mifflin Ave, Scranton, PA 18503-1982 | 2009-04-29 |
| 1588790406 | Intermountain Eye Associates, P.C. | Ophthalmology | 4 Meadow Ave, Suite A, Scranton, PA 18505-2337 | 2007-02-26 |
| 1891849170 | Eye Care Specialists, P.C. | Ophthalmology | 425 Adams Ave, Scranton, PA 18510-2001 | 2007-01-23 |
| 1386740124 | John J W Lee Md PC | Ophthalmology | 1360 Wyoming Ave, Scranton, PA 18509 | 2006-09-16 |
| 1003918475 | Randall R Peairs | Ophthalmology | 200 Mifflin Ave, Scranton, PA 18503 | 2006-09-05 |
| Find all providers in SCRANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.