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  7. NPI Record 1992364897

JOSEPH EYE & LASER CENTER
Complete NPI Record 1992364897
Ophthalmology in Hermitage, PA

NPI Status: Active since June 13, 2019

Contact Information

2151 SHENANGO VALLEY FWY STE C-5
HERMITAGE, PA
ZIP 16148
Phone: (724) 979-6767
Fax: (724) 979-6770

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Employer Identification Number EIN
  4. Provider Organization Name Legal Business Name
  5. Provider Other Organization Name
  6. Provider Other Organization Name Type Code
  7. Provider First Line Business Mailing Address
  8. Provider Business Mailing Address City Name
  9. Provider Business Mailing Address State Name
  10. Provider Business Mailing Address Postal Code
  11. Provider Business Mailing Address Country Code If outside U S
  12. Provider Business Mailing Address Telephone Number
  13. Provider Business Mailing Address Fax Number
  14. Provider First Line Business Practice Location Address
  15. Provider Business Practice Location Address City Name
  16. Provider Business Practice Location Address State Name
  17. Provider Business Practice Location Address Postal Code
  18. Provider Business Practice Location Address Country Code If outside U S
  19. Provider Business Practice Location Address Telephone Number
  20. Provider Business Practice Location Address Fax Number
  21. Provider Enumeration Date
  22. Last Update Date
  23. Authorized Official Last Name
  24. Authorized Official First Name
  25. Authorized Official Middle Name
  26. Authorized Official Title or Position
  27. Authorized Official Telephone Number
  28. Healthcare Provider Taxonomy Code 1
  29. Healthcare Provider Primary Taxonomy Switch 1
  30. Other Provider Identifier 1
  31. Other Provider Identifier Type Code 1
  32. Other Provider Identifier State 1
  33. Is Organization Subpart
  34. Authorized Official Name Prefix Text
  35. Authorized Official Credential Text
  36. Healthcare Provider Taxonomy Group 1
  37. NPI Certification Date

Complete NPI Dataset

This page represents the complete record for NPI 1992364897. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1992364897
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Entity Type Code: 2
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Employer Identification Number EIN: UNAVAIL
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Other Organization Name: JOSEPH EYE & LASER CENTER
The city name in the location address of the provider being identified.
Provider Other Organization Name Type Code: 3
The State code in the location of the provider being identified.
Provider First Line Business Mailing Address: 2151 SHENANGO VALLEY FWY STE C-5
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Mailing Address City Name: HERMITAGE
The country code in the location address of the provider being identified.
Provider Business Mailing Address State Name: PA
The telephone number associated with the location address of the provider being identified.
Provider Business Mailing Address Postal Code: 161482586
The date the provider was assigned a unique identifier (assigned an NPI).
Provider Business Mailing Address Country Code If outside U S : US
The date that a record was last updated or changed.
Provider Business Mailing Address Telephone Number: 7249796767
The code designating the provider’s gender if the provider is a person.
Provider Business Mailing Address Fax Number: 7249796770
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider First Line Business Practice Location Address: 2151 SHENANGO VALLEY FWY STE C-5
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider Business Practice Location Address City Name: HERMITAGE
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Provider Business Practice Location Address State Name: PA
Provider Business Practice Location Address Postal Code: 161482586
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 7249796767
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 7249796770
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 6/13/2019
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 9/25/2024
The date that a record was last updated or changed.
Authorized Official Last Name: JOSEPH
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: CHRISTOPHER
The first name of the authorized official.
Authorized Official Middle Name: JOHN
The middle name of the authorized official.
Authorized Official Title or Position: OWNER/PHYSICIAN
The title or position of the authorized official.
Authorized Official Telephone Number: 7248777991
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 207W00000X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: Y
Other Provider Identifier 1: 1025846180007
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 1: 05
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 1: PA
Is Organization Subpart: N
Authorized Official Name Prefix Text: DR.
Authorized Official Credential Text: DO
Healthcare Provider Taxonomy Group 1: 193400000X SINGLE SPECIALTY GROUP
NPI Certification Date: 9/25/2024