BEN DOMIANO OPTICAL INCORPORATED (NPI# 1639125214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639125214 |
| Entity Type | Organization |
| Organization Name | BEN DOMIANO OPTICAL INCORPORATED |
| Practice Address |
817 S Main St Old Forge PA 18518-1431 |
| Practice Telephone | 5704572020 |
| Practice Fax Number | 5704572787 |
| Mailing Telephone | 5704572020 |
| Mailing Fax Number | 5704572787 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2018-08-17 |
| Authorized Official Name | BENJAMIN G DOMIANO (PRESIDENT) |
| Authorized Official Telephone | 5704572020 |
| Authorized Official Credential | ABOC OPTICIAN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
PA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | GEISINGER | 48926 | 01 |
| MD | SPECTARA | 15932 | 01 |
| PA | HIGHMARK | DO0001565000 | 01 |
| NY | DAVIS VISION | 9911 | 01 |
| PA | CLARITY VISION | BE282600 | 01 |
| OH | EYEMED/COLE VISION | PA0685 | 01 |
| NJ | NVA | 393342 | 01 |
| PA | VISION BENEFITS OF AMERIC | PA817 | 01 |
| Street Address |
817 S MAIN ST |
| City | OLD FORGE |
| State | PA |
| Zip Code | 18518-1431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992090096 | Ben Domiano Optical Center LLC | Optometrist | 817 S Main St, Old Forge, PA 18518-1431 | 2011-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134536519 | Geisinger Clinic | Family Medicine | 939 Moosic Road, Old Forge, PA 18518 | 2014-07-17 |
| 1407285331 | Kelly A. Bartels | Occupational Therapist | 106 Tamara Dr, Old Forge, PA 18518 | 2013-11-01 |
| 1114216967 | Bridget Elizabeth Thomas | Pharmacist | 401-403 Main St, Old Forge, PA 18518 | 2011-04-01 |
| 1720377666 | Deborah M. Dunbar | Pharmacist | 401-403 South Main St., Old Forge, PA 18518 | 2011-03-31 |
| 1215235114 | Verna Mae Saleski | Nurse Practitioner | 1315 Colfax Ave, Maternal Family Health Services Circle of Care, Scranton, PA 18518 | 2011-03-02 |
| 1801909528 | Jan Charles Stampien | Dentist | 121 Moosic Rd, Old Forge Medical Center, Old Forge, PA 18518 | 2006-08-16 |
| 1700810835 | William Allen Stang Jr. | Specialist/Technologist | 501 South Main St, Physical Therapy Associates Nepa, Old Forge, PA 18518 | 2006-07-11 |
| 1093784076 | Stephen Robert Paranich | Chiropractor | 102 N Main St, Old Forge, PA 18518 | 2006-03-14 |
| 1720377005 | Kellyann Daley | Pharmacist | 401 South Main St, Old Forge, PA 18518 | 2011-04-07 |
| 1801009196 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 101 S. Main St, Old Forge, PA 18518 | 2007-05-07 |
| Find all providers in zip 18518 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790845667 | Francis R Anzelmi | Technician/Technologist | 437 S Main St, Old Forge, PA 18518-1629 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332445 | Kevin Lee Treat | Technician/Technologist | 144 Bear Hollow Ln, Falls, PA 18615-7777 | 2020-09-29 |
| 1316585102 | Devrick Jamal Cliett Sr. | Technician/Technologist | 225 Wilmington Pike, Suite 200, Chadds Ford, PA 19317 | 2019-12-12 |
| 1407409568 | Leslie Pinkney | Technician/Technologist | 4902 Pulaski Ave, Philadelphia, PA 19144-4131 | 2019-07-18 |
| 1770140816 | Optical Shop of New Hope Inc. | Technician/Technologist | 102 S Main St Ste C, New Hope, PA 18938-2200 | 2019-05-23 |
| 1164988622 | National Vision Inc | Technician/Technologist | 1136 Commerce Blvd, Dickson City, PA 18519-1688 | 2019-02-20 |
| 1033673595 | National Vision Inc | Technician/Technologist | 1930 Douglas Pkwy Ste 54, Erie, PA 16509-7304 | 2019-01-29 |
| 1245712520 | Milissa Parker | Technician/Technologist | 521 S Oxford Valley Rd, Fairless Hills, PA 19030-2612 | 2018-09-03 |
| 1619469673 | National Vision, Inc. | Technician/Technologist | 1265 Knapp Rd, North Wales, PA 19454-1831 | 2018-06-05 |
| 1326536335 | Mark Jay Miller | Technician/Technologist | 3617 Sipler Ln, Huntingdon Valley, PA 19006-3223 | 2018-04-25 |
| 1861995938 | Spectix Haverford | Technician/Technologist | 222 W Rittenhouse Sq, Philadelphia, PA 19103-5705 | 2018-03-14 |
| Find all providers with the same taxonomy | ||||
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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.