ROY E TULLER (NPI# 1386607000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386607000 |
| Entity Type | Individual |
| Full Name | ROY E TULLER |
| Credential | DO |
| Practice Address |
800 W 4th St Suite 104 Williamsport PA 17701-5895 |
| Mailing Address |
100 N Academy Ave Ste 104 Danville PA 17822-4093 |
| Practice Telephone | 5703210880 |
| Practice Fax Number | 5703218012 |
| Mailing Telephone | 5702716144 |
| Mailing Fax Number | 5702716578 |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2020-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | OS009835L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | UPMC | 321821 | 01 |
| PA | BCBS | 436635 | 01 |
| PA | FIRST PRIORITY HEALTH | 816741 | 01 |
| PA | 001938093 | 05 | |
| PA | TRICARE/CHAMPUS | 059444767 | 01 |
| PA | HEALTH AMERICA | 385321 | 01 |
| PA | MEDICAID DUBOIS | 0019380930002 | 01 |
| PA | MEDICAID LEWISBURG | 0019380930007 | 01 |
| PA | AETNA | 0007386239 | 01 |
| PA | MEDICAID MUNCY | 0019380930003 | 01 |
| PA | MEDICAID WILLIAMSPORT | 0019380930005 | 01 |
| PA | RAILROAD MEDICARE | 180046237 | 01 |
| PA | CAPITAL BC | 50010412 | 01 |
| PA | UNITED HEALTHCARE | 2153242 | 01 |
| PA | GEISINGER HEALTH PLAN | 76917-5365 | 01 |
| PA | AMERIHEALTH | 036635 | 01 |
| Street Address |
800 W 4TH ST SUITE 104 |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701-5895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477516193 | David A Lightman | Ophthalmology | 800 W 4th St, Suite 104, Williamsport, PA 17701-5895 | 2006-04-12 |
| 1467840934 | Geisinger Clinic | Ophthalmology | 800 W 4th St, Suite 104, Williamsport, PA 17701-5895 | 2015-01-06 |
| 1821131715 | Brett Lambert Johnson | Chiropractor | 800 W 4th St, Suite G-02, Williamsport, PA 17701-5895 | 2007-02-14 |
| 1528100799 | Gregory A Johnson | Chiropractor | 800 W 4th St, Suite G-02, Williamsport, PA 17701-5895 | 2007-02-13 |
| 1154385359 | Joel S Fischer | Ophthalmology | 800 W 4th St, Suite 104, Williamsport, PA 17701-5895 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
| 1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
| 1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
| 1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
| 1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
| 1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
| 1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
| Find all providers in zip 17701 | ||||
| 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 |
|---|---|---|---|---|
| 1568800365 | Richard Franklin Tignor | Ophthalmology | 1413 Campbell St, Williamsport, PA 17701-3042 | 2013-06-13 |
| 1841531985 | James Eric Kasenchak | Ophthalmology | 800 W 4th St Ste 104, Williamsport, PA 17701-7200 | 2013-03-14 |
| 1477516193 | David A Lightman | Ophthalmology | 800 W 4th St, Suite 104, Williamsport, PA 17701-5895 | 2006-04-12 |
| 1295798924 | Retina Group of Pennsylvania, P.C. | Ophthalmology | 800 W. Fourth Street, Ste 104, Williamsport, PA 17701-7200 | 2006-04-12 |
| 1730176355 | Lynnwood A Walmer | Ophthalmology | 435 River Ave, Williamsport, PA 17701-3722 | 2005-09-29 |
| 1467840934 | Geisinger Clinic | Ophthalmology | 800 W 4th St, Suite 104, Williamsport, PA 17701-5895 | 2015-01-06 |
| 1467658476 | Durriya S Esaa | Ophthalmology | 1201 Grampian Blvd, Suite 2c, Williamsport, PA 17701-1900 | 2007-06-26 |
| 1558393652 | Susquehanna Physician Services | Ophthalmology | 1201 Grampian Blvd, Suite 2a, Williamsport, PA 17701-1965 | 2006-07-07 |
| 1578507455 | David Lyndell Cute Jr. | Ophthalmology | 1205 Grampian Blvd, Suite 1d, Williamsport, PA 17701-1968 | 2006-06-15 |
| 1154385359 | Joel S Fischer | Ophthalmology | 800 W 4th St, Suite 104, Williamsport, PA 17701-5895 | 2006-04-14 |
| Find all providers in WILLIAMSPORT | ||||
| City | WILLIAMSPORT |
| Zip Code | 17701 |
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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.