DR. JENNIFER A YESELAVAGE LEWCZUK (NPI# 1407142771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407142771 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER A YESELAVAGE LEWCZUK |
| Credential | O.D. |
| Practice Address |
200 Mifflin Ave Scranton PA 18503 |
| Mailing Address |
200 Mifflin Ave Scranton PA 18503-1982 |
| Practice Telephone | 5703423145 |
| Practice Fax Number | 5703441309 |
| Mailing Telephone | 5703423145 |
| Mailing Fax Number | 5703441309 |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OEG002489 | PA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1026137470001 | 05 |
| Street Address |
200 MIFFLIN AVE |
| City | SCRANTON |
| State | PA |
| Zip Code | 18503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053362574 | Christopher Shannon Jordan | Ophthalmology | 200 Mifflin Ave, Scranton, PA 18503-1982 | 2006-05-12 |
| 1902383599 | Alexa Golecki | Optometrist | 200 Mifflin Ave, Scranton, PA 18503-1982 | 2018-07-26 |
| 1164872727 | Emily A Jones | Optometrist | 200 Mifflin Ave, Scranton, PA 18503 | 2016-06-14 |
| 1083052286 | Natalie M Boyce | Optometrist | 200 Mifflin Ave, Scranton, PA 18503 | 2013-06-10 |
| 1821232265 | Joseph Giacometti | Ophthalmology | 200 Mifflin Ave, Scranton, PA 18503-1982 | 2009-04-29 |
| 1114180783 | Megan Walsh | Optometrist | 200 Mifflin Ave, Scranton, PA 18503-1982 | 2008-07-03 |
| 1497857866 | Jennifer Randle | Optometrist | 200 Mifflin Ave, Scranton, PA 18503 | 2006-09-05 |
| 1194827568 | Northeastern Eye Institute | Ophthalmology | 200 Mifflin Ave, Scranton, PA 18503 | 2006-09-05 |
| 1003918475 | Randall R Peairs | Ophthalmology | 200 Mifflin Ave, Scranton, PA 18503 | 2006-09-05 |
| 1922110766 | William J Jordan Jr. | Ophthalmology | 200 Mifflin Ave, Scranton, PA 18503 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578124624 | Vishwadhipa Venkata Voore | Student in an Organized Health Care Education/Training Program | 111 North Washington Avenue, The Wright Center for Grad, Suite 1, Scranton, PA 18503 | 2019-06-27 |
| 1841859717 | Sreekant Avula | Student in an Organized Health Care Education/Training Program | 111 North Washington Avenue, The Wright Center for Gra, Suite 1, Scranton, PA 18503 | 2019-06-13 |
| 1942866124 | Kashyap Devendrabhai Kela | Student in an Organized Health Care Education/Training Program | 111 North Washington Avenue, The Wright Center, Suite 1, Scranton, PA 18503 | 2019-05-14 |
| 1265097778 | Mary Ann Sheerer | Registered Nurse | Geisinger Women's Health Obgyn Clinic, 531 Mount Pleasant Drive, 2nd Floor, Scranton, PA 18503 | 2019-05-09 |
| 1164913950 | Nirajan Regmi | Student in an Organized Health Care Education/Training Program | 111 N Washington Avenue, Scranton, PA 18503 | 2018-05-29 |
| 1801387394 | Talha Zain Tariq | Internal Medicine | 111 N Washington Ave., Scranton, PA 18503 | 2018-05-21 |
| 1013407253 | Ashwin Thatti | Student in an Organized Health Care Education/Training Program | 111 N. Washington Avenue, Scranton, PA 18503 | 2018-05-14 |
| 1972093474 | Anjalika Gupta | Student in an Organized Health Care Education/Training Program | The Wright Center for Graduate Medical Education, 111 N Washington Ave, Scranton, PA 18503 | 2018-05-10 |
| 1073002085 | Mousa Thalji | Student in an Organized Health Care Education/Training Program | 111 N. Washington Ave., Scranton, PA 18503 | 2018-05-04 |
| 1861999849 | Tomara Wilding | Counselor | 201 Lackawanna Ave Ste 302, Scranton, PA 18503 | 2018-04-06 |
| Find all providers in zip 18503 | ||||
| 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 |
|---|---|---|---|---|
| 1508072125 | Mary Jane Cosgrove | Optometrist | Lenscrafters Rt 6, Viewmont Mall, Scranton, PA 18508 | 2007-05-14 |
| 1891845897 | Vincent Possanza | Optometrist | Rt. 6 & I 81, Sears Optical, Viewmont Mall, Scranton, PA 18508 | 2007-01-11 |
| 1609971217 | Gerald Fragin | Optometrist | 341 Jefferson Ave, Scranton, PA 18510-2439 | 2006-09-14 |
| 1699711770 | Marie E Sokol | Optometrist | 425 Adams Ave, Scranton, PA 18510-2001 | 2006-06-20 |
| 1881662500 | Richard Joseph Richardson Jr. | Optometrist | Route 6, Viewmont Mall, Sears Optical, Scranton, PA 18508 | 2006-03-09 |
| 1447243282 | John Kurovsky | Optometrist | 833 Scranton Carbondale Hwy, Scranton, PA 18508-1123 | 2005-08-26 |
| 1902383599 | Alexa Golecki | Optometrist | 200 Mifflin Ave, Scranton, PA 18503-1982 | 2018-07-26 |
| 1164872727 | Emily A Jones | Optometrist | 200 Mifflin Ave, Scranton, PA 18503 | 2016-06-14 |
| 1083052286 | Natalie M Boyce | Optometrist | 200 Mifflin Ave, Scranton, PA 18503 | 2013-06-10 |
| 1114180783 | Megan Walsh | Optometrist | 200 Mifflin Ave, Scranton, PA 18503-1982 | 2008-07-03 |
| Find all providers in SCRANTON | ||||
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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.