MAIN STREET EYE CARE, LLC (NPI# 1881166643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881166643 |
| Entity Type | Organization |
| Organization Name | MAIN STREET EYE CARE, LLC |
| Practice Address |
200 S Main St Du Bois PA 15801-1578 |
| Practice Telephone | 8143750125 |
| Practice Fax Number | 8143752291 |
| Mailing Telephone | 8143750125 |
| Mailing Fax Number | 8143752291 |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2018-12-18 |
| Authorized Official Name | DR. CHRISTOPHER THOMAS SHAW (OWNER/OPTOMETRIST) |
| Authorized Official Telephone | 8143750125 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
Eye and Vision Services Providers | ||
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Street Address |
200 S MAIN ST |
| City | DU BOIS |
| State | PA |
| Zip Code | 15801-1578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982045696 | Christopher Thomas Shaw | Optometrist | 200 S Main St, Du Bois, PA 15801-1578 | 2013-07-10 |
| 1609854819 | Keith D. Milliron | Optometrist | 200 S Main St, Du Bois, PA 15801-1578 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1144869231 | Richard Lee Kerstetter II | Hearing Instrument Specialist | 124 San Juan Rd, Du Bois, PA 15801 | 2020-01-06 |
| 1700368487 | Holly Noel Knoll | Counselor | 490 Jeffers Street, Dubois, PA 15801 | 2018-08-30 |
| 1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
| 1154814846 | Sara Beth Stone | Dietitian, Registered | 16288 Treasure Lk, Du Bois, PA 15801 | 2018-06-07 |
| 1942790779 | Wendi Dawn Wenzel | Counselor | 490 Jeffers St., Dubois, PA 15801 | 2018-05-17 |
| 1144748443 | Nancy Foradora | Massage Therapist | 200 Narrows Creek Park Road, Dubois, PA 15801 | 2017-09-07 |
| 1679098891 | Deborah Jean Mitchell | Hearing Instrument Specialist | 900 Beaver Drive, Dubois, PA 15801 | 2017-08-09 |
| 1861937757 | Shaun M Kanouff | Counselor | 100 Caldwell Dr., Dubois, PA 15801 | 2016-12-30 |
| 1164897740 | Drayer Physical Therapy Institute LLC | Physical Therapist | 873 Beaver Drive, Dubois, PA 15801 | 2015-12-08 |
| Find all providers in zip 15801 | ||||
| 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 |
|---|---|---|---|---|
| 1275808347 | David J Kairys Odpc | Optometrist | 5522 Shaffer Rd Unit 127, Du Bois, PA 15801-3319 | 2012-03-21 |
| 1992881213 | Gregory Lonesky | Optometrist | 270 Commons Dr, Du Bois, PA 15801-3808 | 2006-10-29 |
| 1417040064 | Wendy Strouse Watt | Optometrist | 17 Beaver Dr, Du Bois, PA 15801-2401 | 2006-10-02 |
| 1851332019 | Anthony J Defazio | Optometrist | 61 Beaver Dr, Du Bois, PA 15801-2401 | 2006-06-09 |
| 1730142134 | David John Kairys | Optometrist | 5522 Shaffer Rd, Suite 127, Du Bois, PA 15801-3315 | 2006-04-08 |
| 1598742512 | James E O'bryon | Optometrist | 898 Beaver Dr, Du Bois, PA 15801-2512 | 2005-12-30 |
| 1720646649 | Dubois Regional Medical Center | Optometrist | 529 Sunflower Dr, Du Bois, PA 15801-2378 | 2019-06-05 |
| 1679139091 | Jessica Gruver | Optometrist | 529 Sunflower Dr, 2nd Floor, Du Bois, PA 15801-2378 | 2019-05-10 |
| 1700297058 | Fatula Family Eye Care Pllc | Optometrist | 20 Industrial Dr, Du Bois, PA 15801-3842 | 2014-05-08 |
| 1982045696 | Christopher Thomas Shaw | Optometrist | 200 S Main St, Du Bois, PA 15801-1578 | 2013-07-10 |
| Find all providers in DU BOIS | ||||
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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.