Mary Ellen Judge, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OE006896T Issued in PA

Practice address

679 Kidder St
Wilkes Barre, PA 18702-6908

Phone

(570) 825-3491

NPI assigned

Sep 1, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Baab Opticians Inc

  • Eyewear Supplier
  • Mountain Top, PA
  • NPI 1366610891
  NPD (past)
• Judge and Toole Eye Care

  • Optometrist
  • Wilkes Barre, PA
  • NPI 1487684130
  NPD (past)

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1124012471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SCOTT ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187025613",
            "telephone_number": "570-704-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "679 KIDDER ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187026908",
            "telephone_number": "570-825-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDGE",
        "first_name": "MARY ELLEN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE006896T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0070462900002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katlyn Danielle Joyce, DPT
• Narissa Marie Joyner, M.D.
• Judge and Toole Eye Care
• Cheryl Lynn Judge, PHARM D
• Janice Wiles Judge
• Justine Julien, MD
• Ernest Julius, MD
• Michael Thomas Jung
• Just Always Believe LLC
• Susan Lynn Kaczorowski, MD

• Optometrist in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.