Vision Innovation Centers of Pennsylvania LLC
NPI 1962046458 · Ophthalmology Physician · Kingston, PA
Enrolled with Medicare as Dme Supplier - Physician - Optometrist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1962046458
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Pascetta, Cfo(860) 652-5002
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
19 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (18)
- 4407 Carlisle PikeCamp Hill, PA 17011-4159Phone: (717) 975-2015
- 503 S State StClarks Summit, PA 18411-1557Phone: (570) 587-5186
- 190 Welles StForty Fort, PA 18704-4968Phone: (570) 718-0590
- 569 Hamlin HwyHamlin, PA 18427-7000Phone: (571) 689-2525
- 4100 Linglestown RdHarrisburg, PA 17112-1071Phone: (717) 996-3028
- 625 Park StreetHonesdale, PA 18431Phone: (570) 253-1720
- 1318 Eisenhower BlvdJohnstown, PA 15904-3307Phone: (814) 266-2027
- 120 Main StJohnstown, PA 15901-1507Phone: (814) 536-5343
- 16749 State Route 706 Ste 4Montrose, PA 18801-6502Phone: (570) 278-2279
Registry dates
- Enumerated
- 2019-10-29
- Last updated
- 2026-04-09
- Certified
- 2026-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.