ALYSSA DANIELLE CONJACK (NPI# 1598299661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598299661 |
| Entity Type | Individual |
| Full Name | ALYSSA DANIELLE CONJACK |
| Credential | O.D. |
| Practice Address |
300 State St Erie PA 16507-1427 |
| Mailing Address |
110 Conn Ter Ste 550 Lexington KY 40508-3206 |
| Practice Telephone | 1445406048 |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2020-03-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2085DT | KY | Eye and Vision Services Providers |
| Street Address |
300 STATE ST |
| City | ERIE |
| State | PA |
| Zip Code | 16507-1427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031149 | David M Babins | Orthopaedic Surgery | 300 State St, Ste 400a, Erie, PA 16507-1427 | 2005-05-24 |
| 1922636174 | Luke Tyler Ball | Student in an Organized Health Care Education/Training Program | 300 State St, Erie, PA 16507-1427 | 2020-03-31 |
| 1194274712 | Rachel M Gregoroff | Nurse Practitioner | 300 State St, Suite 201, Erie, PA 16507 | 2016-09-23 |
| 1619353133 | Rick Burgess | Pharmacist | 300 State St, Suite 102, Erie, PA 16507-1427 | 2015-08-06 |
| 1477949527 | Karen Kelley | Nurse Practitioner | 300 State St, Suite 400a, Erie, PA 16507-1427 | 2015-04-15 |
| 1649674631 | Molly A Amann | Nurse Practitioner | 300 State St, Suite 302, Erie, PA 16507-1427 | 2014-10-20 |
| 1477979060 | Suzanne Luteran | Nurse Practitioner | 300 State St, Suite 400a, Erie, PA 16507-1427 | 2014-03-07 |
| 1699112433 | Shelly Lynn Schmucker | Physician Assistant | 300 State St, Suite 400a, Erie, PA 16507-1427 | 2013-06-03 |
| 1285070557 | Children's Community Care | Pediatrics | 300 State St, Suite 301, Erie, PA 16507-1427 | 2013-05-14 |
| 1902175748 | Regional Health Services Inc. | Non-Pharmacy Dispensing Site | 300 State St, 103a, Erie, PA 16507-1427 | 2011-12-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275198723 | Ram Baboo | Student in an Organized Health Care Education/Training Program | 120 East 2nd Street Upmc Northshore Neurology, 3rd Floor, Erie, PA 16507 | 2019-05-09 |
| 1518431915 | Katrina L Putnam | Social Worker | 101 East Avenue, Erie, PA 16507 | 2019-01-18 |
| 1144712084 | Kathlyn Elise Callenius | Student in an Organized Health Care Education/Training Program | 120 East Second St, 3rd Floor, Erie, PA 16507 | 2018-06-06 |
| 1043707490 | Cecelia Anne Hollands | Counselor | 103 East Ave., Erie, PA 16507 | 2018-04-20 |
| 1336591239 | Zachary Dusckas | Student in an Organized Health Care Education/Training Program | 100 Peach St #400, Orthopaedics & Sports Medicine of Erie, Erie, PA 16507 | 2016-07-05 |
| 1679928329 | Stephanie Libra | Occupational Therapist | 100 Barber Place, Box # 29, Erie, PA 16507 | 2016-05-02 |
| 1821476243 | Colin Macelroy Vroome Jr. | Orthopaedic Surgery | Hand, Microsurgery, Reconstructive Orthopedics, LLP, 300 State St. Suite 205, Erie, PA 16507 | 2015-05-18 |
| 1255742227 | Danoushka Tememe | Psychiatry & Neurology | 120 East Second St., 3rd Floor, Erie, PA 16507 | 2014-05-13 |
| 1811307507 | David Aaron Hammer | Psychiatry & Neurology | 120 E Second Street Upmc North Shore Neurology, 7rd Floor, Erie, PA 16507 | 2014-05-02 |
| 1912330325 | Jeanine Krugger | Pharmacist | 363 East 6th St, Erie, PA 16507 | 2013-08-21 |
| Find all providers in zip 16507 | ||||
| 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 |
|---|---|---|---|---|
| 1306445408 | Susan Ross Od Professional Corp | Optometrist | 128 W 12th St Ste 201, Erie, PA 16501-1750 | 2020-10-20 |
| 1427521665 | Landa Vision, Inc. | Optometrist | 5158 Peach St Unit 20b, Erie, PA 16509-2489 | 2019-01-10 |
| 1568898690 | West Penn Advance Vision Care & Optical LLC | Optometrist | 2576 W 8th St, Erie, PA 16505-4416 | 2013-09-20 |
| 1780946624 | Ashley N Harris | Optometrist | 560 Millcreek Mall # 400, Erie, PA 16565-0502 | 2012-06-15 |
| 1215168877 | Jessica Marie Goller | Optometrist | 3279 West 26th St, Erie, PA 16506 | 2009-07-30 |
| 1558506402 | Robert Ryan Powell | Optometrist | 893 Shuttleworth Dr, Erie, CO 80516-7242 | 2008-12-06 |
| 1154505063 | Visual Fx Vision Centers, LLC | Optometrist | 7000 Peach Street, Erie, PA 16509 | 2007-12-27 |
| 1912042466 | Douglas W Kennedy | Optometrist | 615 Mitchell Way Ste 103, Erie, CO 80516-5438 | 2007-02-21 |
| 1790843977 | Jill Diane Cuthbertson | Optometrist | 1344 W 38th St, Erie, PA 16508-2462 | 2006-12-04 |
| 1427126267 | Visioncare Laser Centers of Erie | Optometrist | 1909 West 8th Street, Erie, PA 16505-4936 | 2006-12-01 |
| Find all providers in ERIE | ||||
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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.