Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 152W00000X | Optometrist | | OEG000268 | PENNSYLVANIA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 0104701000 | OTHER | | AMERIHEALTH 65 |
| 2 | P00148941 | OTHER | | MEDICARE ID |
| 3 | 01528701 | OTHER | | CAPITAL BLUE CROSS |
| 4 | 01898579 | MEDICAID | PENNSYLVANIA | |
| 5 | 0625430001 | MEDICARE NSC | PENNSYLVANIA | |
| 6 | 092502 | MEDICARE PIN | PENNSYLVANIA | |
| 7 | SC113345 | OTHER | | HIGHMARK BLUE SHIELD |
| 8 | P00148941 | OTHER | PENNSYLVANIA | MEDICARE RR |
| 9 | 01528701 | OTHER | | NCAS PENNSYLVANIA |
| 10 | 5748087 | OTHER | | FIRST HEALTH NETWORK |
| 11 | 02523900 | OTHER | | CAPITAL BLUE CROSS |
| 12 | 2421907 | OTHER | | AETNA |
| 13 | 00148941 | OTHER | | MEDICARE ID TYPE UNSPECIFIED |
| 14 | ========= | OTHER | | SOUTH CENTRAL PREFERRED |
| 15 | A13345 | OTHER | | AMERIHEALTH ADMIN |
| 16 | ========= | OTHER | | VCP COMP BENEFITS |
| 17 | P00148941 | MEDICARE OSCAR/CERTIFICATION | PENNSYLVANIA | |
| 18 | 18107 | OTHER | | HEALTH AMER HEALTH ASSUR |
| 19 | 95045 | OTHER | | VISION BENEFITS OF AMER |
| 20 | T28442 | MEDICARE UPIN | PENNSYLVANIA | |
| 21 | 01528701 | OTHER | | KEYSTONE HEALTHPLAN |
