OTTAVIANI OPTOMETRY (NPI# 1912268376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912268376 |
| Entity Type | Organization |
| Organization Name | OTTAVIANI OPTOMETRY |
| Practice Address |
1932 Golden Mile Rd Wysox PA 18854 |
| Mailing Address |
Po Box 505 Wyalusing PA 18853 |
| Practice Telephone | 5702656816 |
| Mailing Telephone | 5702656816 |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2013-05-13 |
| Authorized Official Name | DR. EILEEN OTTAVIANI (OWNER) |
| Authorized Official Telephone | 5702656816 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OEG002537 | PA | Eye and Vision Services Providers |
| Street Address |
1932 GOLDEN MILE RD |
| City | WYSOX |
| State | PA |
| Zip Code | 18854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093871279 | Eileen Ottaviani | Optometrist | 1932 Golden Mile Rd, Wysox, PA 18854 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053466466 | Thomas Masker | Chiropractor | Rt 6 Box 561, Wysox, PA 18854 | 2007-01-24 |
| 1508952102 | Sherri Ann Brinskelle | Counselor | Route 6, The Golden Mile, Wysox, PA 18854 | 2006-10-04 |
| 1235231424 | Peter A Ferrulli | Speech-Language Pathologist | Old Blue House, Route 6, Wysox, PA 18854 | 2006-09-01 |
| 1073603718 | Avery B Boardman | Optometrist | 889 Craftmaster Road, Wysox, PA 18854-0000 | 2006-10-13 |
| 1366627275 | Boardman Family Eye Care PC | Durable Medical Equipment & Medical Supplies | 889 Craftmaster Road, Wysox, PA 18854-0000 | 2008-01-09 |
| 1760648455 | Sweet Family Practice PC -fp Program | Clinic/Center | Route 6 Golden Mile, Ste 341, Wysox, PA 18854-0341 | 2008-08-01 |
| 1710995188 | Sweet Family Practice | Obstetrics & Gynecology | Golden Mile Box 341, Wysox, PA 18854-0341 | 2006-08-03 |
| 1003416959 | Ronald Dean | Psychologist | 1706 Golden Mile Road, Wysox, PA 18854-7708 | 2020-10-29 |
| 1063437846 | Wysox Volunteer Emergency Medical Service Ambulance Inc | Ambulance | 22537 Route 187, Wysox, PA 18854-7742 | 2006-07-13 |
| 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 |
|---|---|---|---|---|
| 1093871279 | Eileen Ottaviani | Optometrist | 1932 Golden Mile Rd, Wysox, PA 18854 | 2006-12-29 |
| 1073603718 | Avery B Boardman | Optometrist | 889 Craftmaster Road, Wysox, PA 18854-0000 | 2006-10-13 |
| 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 |
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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.