Individual provider Active NPI

Aleah Rose Wilson, O.D.

  • Optometrist
  • Bristol, PA
National Provider Identifier
1093233843
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003336 Issued in PA
Practice address
216 Mill St
Bristol, PA 19007-4809
Phone
(215) 781-2020
Fax
(215) 788-3504
NPI assigned
Aug 31, 2017
Last updated
Aug 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003336 PA Primary

Addresses

Primary practice location

216 Mill St
Bristol, PA 19007-4809

Mailing address

216 Mill St
Bristol, PA 19007-4809
Phone (215) 781-6793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171019000162 PA Practitioner - Optometry 8729354741 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-Century Eye Care, PC CurrentSince Sep 2, 2017 Accepting new patients
Tri-Century Eye Care, PC CurrentSince Sep 2, 2017 Accepting new patients

Locations

216 Mill St
Bristol, PA 19007
Phone (215) 781-2020

216 Mill St
#B
Bristol, PA 19007
Phone (215) 781-2020

352 E Butler Ave
New Britain, PA 18901
Phone (215) 230-4700

319 2nd Street Pike
Southampton, PA 18966
Phone (215) 355-4428

10000 Anns Choice Way
Warminster, PA 18974
Phone (215) 443-3801

Interoperability endpoints

  • Direct secure messaging: awilson@tcec.intellechartdirect.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1093233843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 MILL ST",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190074809",
            "telephone_number": "215-781-6793",
            "fax_number": "215-781-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 MILL ST",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190074809",
            "telephone_number": "215-781-2020",
            "fax_number": "215-788-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ALEAH",
        "middle_name": "ROSE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, PA

Sources for this page

Verify at the official NPI Registry.