Individual provider Active NPI

Komal Wahi, OD

  • Optometrist
  • Bechtelsville, PA
National Provider Identifier
1114990488
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001494 Issued in PA
Practice address
567 Route 100 N
Walmart Vision Center
Bechtelsville, PA 19505-9263
Phone
(610) 367-1076
NPI assigned
Feb 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001494 PA Primary

Addresses

Primary practice location

567 Route 100 N
Walmart Vision Center
Bechtelsville, PA 19505-9263

Mailing address

567 Route 100 N
Walmart Vision Center
Bechtelsville, PA 19505-9263
Phone (610) 367-1076

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
I20041220000262 PA Practitioner - Optometry 9830156074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

567 N Route 100
Bechtelsville, PA 19505-9263
Phone (610) 367-1076

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Komal Wahi, OD, LLC Optometrist CurrentSince Jul 1, 2008 Accepting new patients
Dr. Gary Andrus and Associates, PC Optometrist Past Accepting new patients

Locations

567 N Route 100
Bechtelsville, PA 19505
Phone (610) 367-1005

275 N Gulph Rd
King of Prussia, PA 19406
Phone (610) 768-0530

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255996800000",
    "number": "1114990488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 ROUTE 100 N",
            "address_2": "WALMART VISION CENTER",
            "city": "BECHTELSVILLE",
            "state": "PA",
            "postal_code": "195059263",
            "telephone_number": "610-367-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 ROUTE 100 N",
            "address_2": "WALMART VISION CENTER",
            "city": "BECHTELSVILLE",
            "state": "PA",
            "postal_code": "195059263",
            "telephone_number": "610-367-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHI",
        "first_name": "KOMAL",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2009-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bechtelsville, PA

Sources for this page

Verify at the official NPI Registry.