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NORTH POCONO FAMILY EYECARE, LLC
NPI 1104834266
Optometrist in Covington Twp, PA

Active since August 04, 2006CLIA 39D2143364 · Waiver
921 DRINKER TPKE, STE 15, COVINGTON TWP, PA 18444(570) 842-0331 Get Directions Write a Review

NPPES record last updated: September 4, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About North Pocono Family Eyecare, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH POCONO FAMILY EYECARE, LLC (NPI 1104834266) is a healthcare organization registered as an optometrist in Covington Twp, Pennsylvania and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through January 28, 2028 and lists Kimberly Ann Agostinelli, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1104834266
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameNORTH POCONO FAMILY EYECARE, LLC
Location Address921 DRINKER TPKE, STE 15Covington Twp, PA 18444-7947
Mailing Address921 Drinker Tpke, Ste 15Covington Twp, PA 18444-7947 · (570) 842-0331
Phone(570) 842-0331
Organization SubpartNo
Authorized OfficialKimberly Ann AgostinelliSole Member · (570) 842-0331
Enumeration DateAugust 4, 2006
Last NPPES UpdateSeptember 4, 2014
✔ NPI 1104834266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in PA · OEG-000799
Definition
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.
921 DRINKER TPKE, Covington Twp, PA 18444
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Other Identifiers 4

Medicare NSC5879980001PA
Medicare PIN105419VWSPA
Medicare UPINU83187PA
Medicare ID-Type Unspecified044425VWSPA · Group Provider Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, Highmark Blue Cross Blue Shield Delaware and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2143364

North Pocono Family Eyecare LLC · Moscow, PA
Active · expires Jan 28, 2028
CLIA Number39D2143364
Laboratory TypePhysician Office
Certificate Effective DateJanuary 29, 2026
Certificate Expiration DateJanuary 28, 2028
Laboratory DirectorDr. Kimberly A. Agostinelli
Laboratory Phone(570) 842-0331
Laboratory LocationNorth Pocono Family Eyecare LLC921 Drinker Tpke, Ste 15, Moscow, PA 18444
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY GIBBONS
Pharmacist
921 DRINKER TPKE
COVINGTON TOWNSHIP, PA 18444
Lackawanna County (570) 842-7848
DR. EUGENE DANIEL HARASYM M.D.
Family Medicine
921 DRINKER TPKE
COVINGTON TOWNSHIP, PA 18444
Lackawanna County (570) 842-0945
ELAINE COUTROS BLONDEK
Pharmacist
921 DRINKER TPKE
COVINGTON TOWNSHIP, PA 18444
Lackawanna County (570) 842-7848

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Pocono Family Eyecare, LLC's NPI number?

The NPI number for North Pocono Family Eyecare, LLC is 1104834266. It was assigned to this organization in the NPPES registry on August 4, 2006.

Where is North Pocono Family Eyecare, LLC located?

North Pocono Family Eyecare, LLC is located at 921 Drinker Tpke Ste 15, Covington Twp, PA 18444. The listed phone number is (570) 842-0331.

What is North Pocono Family Eyecare, LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does North Pocono Family Eyecare, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2143364) is associated with this NPI, valid through January 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does North Pocono Family Eyecare, LLC accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Highmark Blue Cross Blue Shield Delaware and Highmark Blue Cross Blue Shield West Virginia list North Pocono Family Eyecare, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for North Pocono Family Eyecare, LLC was last updated on September 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.