CARLA K MARISCOTTI (NPI# 1902890155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902890155 |
| Entity Type | Individual |
| Full Name | CARLA K MARISCOTTI |
| Credential | OD |
| Practice Address |
235 Division St Harrisburg PA 17110-1213 |
| Practice Telephone | 7172338783 |
| Practice Fax Number | 7172332221 |
| Mailing Telephone | 7172338783 |
| Mailing Fax Number | 7172332221 |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2010-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OEG000191 | PA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS | 01816701 | 01 | |
| BLUE SHIELD | 434111 | 01 |
| Street Address |
235 DIVISION ST |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17110-1213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386638534 | M Alan Mclin | Optometrist | 235 Division St, Harrisburg, PA 17110-1213 | 2005-09-02 |
| 1740382290 | John Albert Wetherhold Sr. | Optometrist | 235 Division St, Harrisburg, PA 17110-1213 | 2006-09-04 |
| 1811981061 | Michelle A Wetherhold | Optometrist | 235 Division St, Harrisburg, PA 17110-1213 | 2005-09-02 |
| 1578557732 | Morrison Eye Associates Inc | Optometrist | 235 Division St, Harrisburg, PA 17110-1213 | 2005-09-02 |
| 1093709255 | James W Riegel | Optometrist | 235 Division St, Harrisburg, PA 17110-1213 | 2005-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457993271 | Christopher William Delong | Nurse Practitioner | 2501 North 3rd St. Fl 2, Harrisburg, PA 17110 | 2019-10-14 |
| 1306490701 | Melissa Ann Duchesne | Registered Nurse | 2501 North 3rd Street, Landis Building 7th Floor, Harrisburg, PA 17110 | 2019-07-25 |
| 1558845024 | Mary Kaitlin Novak | Counselor | 3605 Vartan Way, Suite 204a, Harrisburg, PA 17110 | 2018-09-20 |
| 1548781602 | Olson Orenson Knight | Internal Medicine | 2501 N. Third Street, Harrisburg, PA 17110 | 2017-06-29 |
| 1356897938 | Millonee Dialysis LLC | Clinic/Center | 4390 Sturbridge Dr, Harrisburg, PA 17110 | 2016-09-01 |
| 1538529268 | Ergency Associates LLC | Emergency Medical Technician, Basic | 2323 Linglestown Road, Unit 201b, Harrisburg, PA 17110 | 2016-02-23 |
| 1134514904 | Benjamin Daniel Chan | Student in an Organized Health Care Education/Training Program | Kline Health Center, 2501 N. Third St., 2nd Floor, Landis Building, Harrisburg, PA 17110 | 2015-03-30 |
| 1013317411 | Robert Derner Jr. | Counselor | 2700 Commerce Dr., Harrisburg, PA 17110 | 2014-09-04 |
| 1780029454 | Khem Kumar Adhikari | Family Medicine | 3601 North Progress Ave., Harrisburg, PA 17110 | 2013-05-07 |
| 1962791905 | Paul Schaffner Stoner Sr. | General Practice | 4500 Oakhurst Blvd., Apt 319, Harrisburg, PA 17110 | 2011-03-30 |
| Find all providers in zip 17110 | ||||
| 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 |
|---|---|---|---|---|
| 1043692171 | Danielle Nicole Renda | Optometrist | Route 22 and Colonial Rd, Suite 74, Harrisburg, PA 17109-6235 | 2015-06-25 |
| 1952666406 | Chantel Nicole Garcia Tarbett | Optometrist | 4350 Main St Ste 107, Harrisburg, NC 28075-7439 | 2012-07-11 |
| 1225348899 | Ashley Dominique Hudson | Optometrist | Route 22 and Colonial Rd., Suite 74, Harrisburg, PA 17109 | 2010-10-18 |
| 1699941963 | Christine E. Gavett | Optometrist | 13020 N Route E, Harrisburg, MO 65256 | 2008-05-06 |
| 1225234453 | John D Boer | Optometrist | 220 S Cliff Ave Ste 102, Harrisburg, SD 57032-2117 | 2007-06-25 |
| 1972626935 | David J Bryden | Optometrist | 6021 Allentown Blvd, Harrisburg, PA 17112-2602 | 2007-04-06 |
| 1407998982 | Kimberly A Zimmerman | Optometrist | 2745 N Front St, Harrisburg, PA 17110-1265 | 2007-02-13 |
| 1063569036 | Optometry Associates, P.C. | Optometrist | 4392 Sturbridge Drive, Harrisburg, PA 17110-3670 | 2007-01-04 |
| 1851457030 | Heather Anne Bourdeau | Optometrist | 1130 South 19th Street, Harrisburg, PA 17104 | 2006-12-29 |
| 1932263738 | Darcy L Williams | Optometrist | 4240 Elmerton Ave, Harrisburg, PA 17109-2317 | 2006-12-19 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17110 |
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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.