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Saint Marys, PA - NPI registry record

Penn Highlands Elk, Saint Marys: NPI Registry Record and Eye Exam Cost Context

Penn Highlands Elk holds NPI 1811610298, registered with the Centers for Medicare and Medicaid Services as an ophthalmology organization under taxonomy code 207W00000X (Ophthalmology). The practice location on the record is 765 Johnsonburg Rd, Saint Marys, PA 15857, inside the St. Marys micropolitan statistical area area. The NPI was issued in September 2022, 4 years ago, and the practice last updated its own entry in September 2022.

What the registry record says

NPI number
1811610298
Legal business name
Elk Regional Health Center
Registered trading name
Penn Highlands Elk
Primary registered specialty
Ophthalmology (207W00000X)
Non eye care codes on the record
1 additional taxonomy code outside optometry and ophthalmology
Practice location
765 Johnsonburg Rd
Saint Marys, PA 15857-3417
Phone on the record
(814) 781-3435
NPI issued
September 21, 2022
Record last updated by the practice
September 21, 2022
Registry status
NPI registry record, active as reported by CMS October 2026
Metro area
St. Marys, PA
County
Elk County
Parent organization
Penn Highlands Healthcare
Organization subpart
Yes, this location bills as a subpart of a larger organization
Location precision
Street address matched by the US Census geocoder

Reading this record

The practice bills under the legal name Elk Regional Health Center and registered Penn Highlands Elk as its trading name, so an insurance statement may show a name that does not match the sign on the door. CMS records this location as a subpart of Penn Highlands Healthcare, meaning it bills under its own NPI but belongs to a larger organization. The entry was last refreshed in September 2022. That is neither fresh nor ancient by the standards of this metro, where 1 of 8 records were updated in 2024 or later and 5 predate 2020.

For local context: Saint Marys holds 6 registered eye care practices in this snapshot, 4 of them optometry and 2 ophthalmology, in ZIP codes including 15857. 4 of them took an NPI before this practice did. The closest is Elk County Eye Clinic in Saint Marys, 0.0 miles away.

None of this is a licensing check. CMS issues an NPI so a provider can be identified in billing transactions, and states plainly that issuance does not ensure or validate that the holder is licensed or credentialed. The Pennsylvania boards hold the licensing record, and the practice itself is the only source for what it charges today.

Also registered at this address

1 other organization holds an NPI at the same street address. Shared suites and multi-specialty buildings are common, and it is worth knowing which entity you are actually booking with.

OrganizationRegistered asRecord updated
Elk County Eye ClinicOphthalmologySeptember 2017

Nearest registered practices

17 other registered eye care practices sit within 25 miles of this address, a radius that does not stop at the metro boundary. Inside the St. Marys metro itself there are 8, 5 of them elsewhere in Saint Marys. The closest 5 are below, measured straight line between registered addresses.

PracticeCityRegistered asDistancePhone on record
Elk County Eye ClinicSaint MarysOphthalmology0.0 mi(814) 781-3435
Karl W Wolfe,odSaint MarysOptometry1.8 mi(814) 781-3384
Krainz Family Optometry, Inc.Saint MarysOptometry1.8 mi(814) 781-3384
Housler Family Eye Care IncSaint MarysOptometry1.8 mi(814) 335-5905
Fatula Family EyecareSaint MarysOptometry2.7 mi(814) 781-1064

Distances are straight line between registered practice locations, not driving distance. Records placed at a ZIP centroid rather than a matched street address are excluded from this comparison.

What to expect to pay at an ophthalmology practice like this

The NPI registry holds no prices, so nothing here is a quote from Penn Highlands Elk, and ophthalmology practices do not publish fee schedules. Customers report paying $150 to $300 or more at this kind of practice without insurance, which is a reported band rather than a published price. The nearest published figure is $95, the median starting fee across the 1,280 US retail optical stores that print one (30 September 2026), and Medicare pays $149.64 for a comprehensive new-patient exam (CPT 92004). Ask Penn Highlands Elk for its self-pay price.

Ophthalmology visits are usually medical rather than routine, which changes who pays: medical insurance and Medicare Part B cover a medically necessary exam, while a routine refraction for glasses is normally not covered. Ask whether the visit will be billed as medical or routine before you book, and compare with the 6 optometry practices on the St. Marys page if you only need a prescription.

Keep looking

All 8 practices in St. MarysPennsylvania directoryUS eye doctor directoryGlaucoma test costRetinal imaging costWhat vision insurance coversMedicare eye exam coverage
Source and provenance. CMS National Plan and Provider Enumeration System (NPPES), NPI data dissemination file, August 2026 (October 2026, published October 2026 file). CMS NPI downloadable files. Licence: US federal public data, FOIA-disclosable, no charge; CMS deactivated-NPI display guidance honoured. NPI registry records from the CMS NPPES monthly file. An NPI is a billing identifier, not a licence: CMS does not verify that the holder is licensed or credentialed. Registry contact details are self-reported and are often years out of date. This directory lists organizations only. Individual practitioner records are never published here.

Site updated 2026-10-25