| Northeastern Eye Institute | |
|
200 Mifflin Ave, Scranton, PA 18503 | |
| (570) 342-3145 | |
| Not Available |
| Full Name | Northeastern Eye Institute |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 200 Mifflin Ave, Scranton, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366554172 | NPI | - | NPPES |
| 44005758 | Other | PA | HIGHMARK BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Thomas Stanley Boland |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1174635924 PECOS PAC ID: 0547164451 Enrollment ID: I20031121000804 |
| Provider Name | Cynthia G Charnetski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457463275 PECOS PAC ID: 5698763654 Enrollment ID: I20040506000412 |
| Provider Name | Maryellen Judge |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124012471 PECOS PAC ID: 4385698950 Enrollment ID: I20050307000342 |
| Provider Name | Jerard W Brown |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376539916 PECOS PAC ID: 4082653118 Enrollment ID: I20050428000473 |
| Provider Name | Melanie Ann Brown-demichele |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972615722 PECOS PAC ID: 1951341817 Enrollment ID: I20050510000715 |
| Provider Name | Michael Robert Boland |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962414078 PECOS PAC ID: 8123062619 Enrollment ID: I20050615000635 |
| Provider Name | Carlene Ann Siracuse |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639275696 PECOS PAC ID: 1557362613 Enrollment ID: I20070117000060 |
| Provider Name | Lindsey Connors Kelly |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750589818 PECOS PAC ID: 5294829404 Enrollment ID: I20070919000419 |
| Provider Name | Christopher S Jordan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1053362574 PECOS PAC ID: 2466452453 Enrollment ID: I20071015000041 |
| Provider Name | Lisa A Toole |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346234689 PECOS PAC ID: 4688736200 Enrollment ID: I20081216000404 |
| Provider Name | Megan M Walsh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114180783 PECOS PAC ID: 3678625332 Enrollment ID: I20090710000431 |
| Provider Name | Mary Frattali |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447362272 PECOS PAC ID: 9032137815 Enrollment ID: I20100202000004 |
| Provider Name | Arthur Joseph Jordan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1376655126 PECOS PAC ID: 2466403613 Enrollment ID: I20100202000024 |
| Provider Name | Jerome William Jordan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952413791 PECOS PAC ID: 4284538190 Enrollment ID: I20100202000288 |
| Provider Name | William J Jordan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1922110766 PECOS PAC ID: 3274542865 Enrollment ID: I20100203000674 |
| Provider Name | Mary Elizabeth Jordan Flickinger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003828120 PECOS PAC ID: 7416091335 Enrollment ID: I20100216000612 |
| Provider Name | Randall Ray Peairs |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003918475 PECOS PAC ID: 6406874288 Enrollment ID: I20100217000809 |
| Provider Name | Joseph Patrick Shovlin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518970623 PECOS PAC ID: 7012051444 Enrollment ID: I20100223000257 |
| Provider Name | Michael J Rymar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700998549 PECOS PAC ID: 2365587581 Enrollment ID: I20100226000453 |
| Provider Name | Barbara Ann Caputo-fox |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508878612 PECOS PAC ID: 0446395586 Enrollment ID: I20100301000829 |
| Provider Name | Lisa Marie Mongiello |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548273600 PECOS PAC ID: 6002951928 Enrollment ID: I20100303000732 |
| Provider Name | James B Flickinger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184636284 PECOS PAC ID: 8921133836 Enrollment ID: I20100317000726 |
| Provider Name | Charles P Whitling |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285784579 PECOS PAC ID: 3173719424 Enrollment ID: I20101129000283 |
| Provider Name | Jennifer A Yeselavage |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407142771 PECOS PAC ID: 5698944064 Enrollment ID: I20110802000229 |
| Provider Name | Natalie M Boyce |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083052286 PECOS PAC ID: 2567606031 Enrollment ID: I20130924000139 |
| Provider Name | Joseph N Giacometti |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1821232265 PECOS PAC ID: 1658593512 Enrollment ID: I20141107001389 |
| Provider Name | Emily A Jones |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164872727 PECOS PAC ID: 2062705478 Enrollment ID: I20160722001113 |
| Provider Name | Alexa Golecki |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902383599 PECOS PAC ID: 1557619301 Enrollment ID: I20180809006100 |
| Mailing Address | Practice Location Address |
|---|---|
| Northeastern Eye Institute 200 Mifflin Ave, Scranton, PA 18503 Ph: (570) 342-3145 | Northeastern Eye Institute 200 Mifflin Ave, Scranton, PA 18503 Ph: (570) 342-3145 |
Mary Elizabeth Jordan-flickinger, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 Mifflin Ave, Scranton, PA 18503 Phone: 570-342-3145 Fax: 570-344-1309 | |
Miss Natalie M Boyce, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 Mifflin Ave, Scranton, PA 18503 Phone: 570-342-3145 Fax: 570-344-1309 | |
Dr. Megan Walsh, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 Mifflin Ave, Scranton, PA 18503 Phone: 570-342-3145 Fax: 570-343-3286 | |
Dr. Emily A Jones, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 Mifflin Ave, Scranton, PA 18503 Phone: 570-340-8053 | |
James Bradley Flickinger, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 Mifflin Ave, Scranton, PA 18503 Phone: 570-342-3145 Fax: 570-344-1309 | |
Rhys Jenkins Yarns, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 200 Mifflin Ave, Scranton, PA 18503 Phone: 570-342-3145 | |
John W Boyle, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3 W Olive St, Scranton, PA 18508 Phone: 570-558-5566 Fax: 570-558-3535 |