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NORTHEASTERN EYE INSTITUTE
NPI 1194827568
Ophthalmology in Scranton, PA

Active since September 05, 2006CLIA 39D2091456 · Waiver
200 MIFFLIN AVE, SCRANTON, PA 18503(570) 342-3145 Get Directions Write a Review

NPPES record last updated: November 4, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Northeastern Eye Institute NPPES

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

NORTHEASTERN EYE INSTITUTE (NPI 1194827568) is a healthcare organization registered as an ophthalmology in Scranton, Pennsylvania and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through February 12, 2027 and lists Jerome W Jordan, Member Board Of Directors, as its authorized official.

NPPES Registry Identity

NPI1194827568
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameNORTHEASTERN EYE INSTITUTE
Location Address200 MIFFLIN AVEScranton, PA 18503
Mailing Address200 Mifflin AveScranton, PA 18503 · (570) 342-3145 · Fax (570) 344-1309
Phone(570) 342-3145
Organization SubpartNo
Authorized OfficialJerome W JordanMember Board Of Directors · (570) 342-3145
Enumeration DateSeptember 5, 2006
Last NPPES UpdateNovember 4, 2019
✔ NPI 1194827568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
200 MIFFLIN AVE, Scranton, PA 18503
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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 Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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 39D2091456

Northeastern Eye Institute · Scranton, PA
Active · expires Feb 12, 2027
CLIA Number39D2091456
Laboratory TypePhysician Office
Certificate Effective DateFebruary 13, 2025
Certificate Expiration DateFebruary 12, 2027
Laboratory DirectorDr. Christopher S. Jordan MD
Laboratory Phone(570) 718-0590
Laboratory LocationNortheastern Eye Institute200 Mifflin Ave, Scranton, PA 18503
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

MARY ELIZABETH JORDAN-FLICKINGER OD
Optometrist
200 MIFFLIN AVE
SCRANTON, PA 18503
Lackawanna County (570) 342-3145
RANDALL R PEAIRS MD
Ophthalmology
200 MIFFLIN AVE
SCRANTON, PA 18503
Lackawanna County (570) 342-3145
CHRISTOPHER SHANNON JORDAN MD
Ophthalmology
200 MIFFLIN AVE
SCRANTON, PA 18503
Lackawanna County (570) 342-3145
NATALIE M BOYCE OD
Optometrist
200 MIFFLIN AVE
SCRANTON, PA 18503
Lackawanna County (570) 342-3145
DR. MEGAN WALSH OD
Optometrist
200 MIFFLIN AVE
SCRANTON, PA 18503
Lackawanna County (570) 342-3145
EMILY A SPARKS OD
Optometrist
200 MIFFLIN AVE
SCRANTON, PA 18503
Lackawanna County (570) 342-3145
THOMAS S BOLAND MD
Ophthalmology
200 MIFFLIN AVE
SCRANTON, PA 18503
Lackawanna County (570) 342-3145
JAMES BRADLEY FLICKINGER OD
Optometrist
200 MIFFLIN AVE
SCRANTON, PA 18503
Lackawanna County (570) 342-3145

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 Northeastern Eye Institute's NPI number?

The NPI number for Northeastern Eye Institute is 1194827568. It was assigned to this organization in the NPPES registry on September 5, 2006.

Where is Northeastern Eye Institute located?

Northeastern Eye Institute is located at 200 Mifflin Ave, Scranton, PA 18503. The listed phone number is (570) 342-3145.

What is Northeastern Eye Institute's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Northeastern Eye Institute hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2091456) is associated with this NPI, valid through February 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northeastern Eye Institute accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Northeastern Eye Institute 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 Northeastern Eye Institute was last updated on November 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.