SHAWN DAVID TUBIELLO (NPI# 1679582050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679582050 |
| Entity Type | Individual |
| Full Name | SHAWN DAVID TUBIELLO |
| Credential | O.D. |
| Practice Address |
711 Lawn Ave Sellersville PA 18960-1575 |
| Practice Telephone | 2152578053 |
| Practice Fax Number | 2152572020 |
| Mailing Telephone | 2152578053 |
| Mailing Fax Number | 2152572020 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2018-12-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OEG000246 | PA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | RAILROAD MEDICARE | P00120980 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 834 Main St, Hellertown, PA 180551515 | 6108381000 | 6108389332 |
| Street Address |
711 LAWN AVE |
| City | SELLERSVILLE |
| State | PA |
| Zip Code | 18960-1575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023018066 | Jorge E Arsuaga | Radiology | 711 Lawn Ave, Bldg 1, Sellersville, PA 18960-1575 | 2005-07-29 |
| 1386101780 | Penn Foundation Inc | Community/Behavioral Health | 711 Lawn Ave, Sellersville, PA 18960-1575 | 2019-02-22 |
| 1821584079 | Penn Foundation, Inc | Community/Behavioral Health | 711 Lawn Ave, Sellersville, PA 18960-1575 | 2018-07-10 |
| 1528417219 | Debra Ann Schreiner | Physician Assistant | 711 Lawn Ave, Building 3, Sellersville, PA 18960-1575 | 2016-06-03 |
| 1932593506 | Rama Vinayagasundaram Subramanian | Pediatrics | 711 Lawn Ave, Sellersville, PA 18960-1575 | 2015-03-23 |
| 1801160627 | Karen Thiele | Nurse Practitioner | 711 Lawn Ave, Sellersville, PA 18960-1575 | 2012-02-24 |
| 1760628564 | Urologic Health Associates, P.C. | Urology | 711 Lawn Ave, Sellersville, PA 18960-1575 | 2008-12-29 |
| 1033378252 | Kelly A Moretski | Registered Nurse | 711 Lawn Ave, Sellersville, PA 18960-1575 | 2008-06-03 |
| 1447426275 | Anthony John Agbay Jr. | Radiology | 711 Lawn Ave, Sellersville, PA 18960-1575 | 2008-05-01 |
| 1356531164 | Anuta Dolha | Pediatrics | 711 Lawn Ave, Sellersville, PA 18960-1575 | 2007-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518362359 | Grand View Hospital | Internal Medicine | 817 Lawn Ave Ste 4, Sellersville, PA 18960 | 2014-10-22 |
| 1386082162 | Grand View Hospital | Nutritionist | 700 Lawn Ave Ofc 4194, Sellersville, PA 18960 | 2013-06-13 |
| 1043654619 | Fresenius Medical Care Sellersville, LLC | Clinic/Center | 1105 Bethlehem Pike, Sellersville, PA 18960 | 2013-04-25 |
| 1417206020 | Mary Ziegler | Registered Nurse | 521 Broadway Ave, Sellersville, PA 18960 | 2012-08-29 |
| 1821220542 | Leslie Osimo | Registered Nurse | 29 Boulder Drive, Sellersville, PA 18960 | 2009-08-13 |
| 1770738700 | Tina Gambale | Occupational Therapist | 5 Narothyn Rd, Sellersville, PA 18960 | 2008-11-18 |
| 1316106362 | William Vernon Spear II | Dentist | 27 Temple Ave, Sellersville, PA 18960 | 2008-06-05 |
| 1376715318 | Nancy A Fickert | Registered Nurse | 5 Lifemark Dr, Sellersville, PA 18960 | 2008-03-31 |
| 1225255730 | Barc | Intermediate Care Facility, Mentally Retarded | 2003 Old Bethlehem Pike, Sellersville, PA 18960 | 2007-04-19 |
| 1073739124 | Barc | Intermediate Care Facility, Mentally Retarded | 1410 Old Bethlehem Pike, Sellersville, PA 18960 | 2007-04-17 |
| Find all providers in zip 18960 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245768043 | Natalia Kobrenko | Optometrist | 711 Lawn Ave Ste 3, Sellersville, PA 18960-1575 | 2017-05-24 |
| 1992714307 | Jack Steven Robinson | Optometrist | 711 Lawn Ave, Sellersville, PA 18960-1575 | 2006-08-05 |
| 1013926476 | Jordan Jay Lubowitz | Optometrist | 711 Lawn Ave, Sellersville, PA 18960-1575 | 2006-08-05 |
| 1891704243 | John Allen Godfrey | Optometrist | 711 Lawn Ave, Sellersville, PA 18960-1575 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861800 | Shevanie Latchmi Jallim | Optometrist | 3714 Nazareth Rd # 4, Easton, PA 18045-8357 | 2020-11-03 |
| 1700485513 | Warren General Hospital | Optometrist | 103 W Saint Clair St Rm 1a, Warren, PA 16365-2187 | 2020-10-22 |
| 1356940449 | Sunish Singh | Optometrist | 51 Indigo Rd, Levittown, PA 19057-2718 | 2020-10-20 |
| 1306445408 | Susan Ross Od Professional Corp | Optometrist | 128 W 12th St Ste 201, Erie, PA 16501-1750 | 2020-10-20 |
| 1528665049 | Melissa Ann Sy Rivera | Optometrist | 503 Bullock St, Conshohocken, PA 19428-2807 | 2020-10-07 |
| 1912504846 | National Vision Inc | Optometrist | 1025 Village Center Dr Ste 1, Tarentum, PA 15084-3840 | 2020-10-05 |
| 1649883265 | Iana Volodarsky | Optometrist | 950 Industrial Blvd Ste 3, Southampton, PA 18966-4070 | 2020-08-24 |
| 1023627031 | Monica Rose Theroux | Optometrist | 82 Mcclellandtown Rd, Uniontown, PA 15401-5522 | 2020-07-26 |
| 1316555949 | Robert L Naugle IIi | Optometrist | 130 Spruce Ct, Pittsburgh, PA 15229-2133 | 2020-07-20 |
| 1043828049 | Progressive Vision Institute of Allentown, PC | Optometrist | 6465 Village Ln Ste 10, Macungie, PA 18062-8474 | 2020-07-16 |
| Find all providers with the same taxonomy | ||||
| City | SELLERSVILLE |
| Zip Code | 18960 |
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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.