Active NPI
Ralph G. Witchey Jr., O.D.
- Optometrist
- Warren, PA
National Provider Identifier
1124060462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OE-G000882
- Practice address
- 2 Farm Colony Dr
Warren, PA 16365-5203 - Phone
- (716) 484-6700
- Fax
- (716) 487-0166
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OE-G000882 | PA | Primary |
Addresses
Primary practice location
2 Farm Colony Dr
Warren, PA 16365-5203
Mailing address
2 Farm Colony Dr
Warren, PA 16365-5203
Phone (716) 484-6700
Other practice location 1
297 Evans City Rd
Butler, PA 16001-2754
Phone (724) 283-8144
Other practice location 2
462 Fairmount Ave
Jamestown, NY 14701-2721
Phone (716) 484-6700
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 151190 | Other | GATEWAY | |
| 65836 | Other | HEALTHAMERICA | |
| 0604250001 | Other | DMERC | |
| WI116623 | Other | BLUE CROSS BLUE SHIELD | |
| 50320 | Other | DAVIS VISION | |
| 9-5-991-P | Other | VBA | |
| 25126 | Other | HEALTH AMERICA | |
| 0008713100001 | Medicaid | PA | |
| 304695 | Other | UPMC | |
| P00207495 | Other | R.R. MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rwitchey@cecs.intellechartdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181018002024 | NY | Practitioner - Optometry | 3870513757 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 78 of 100
- Quality
- 91.57
- Improvement activities
- 40
- Cost
- 21.23
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OE-G000882 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegheny Eye Associates LLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optometrist
- Lower Burrell, PA
- NPI 1710378427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618790400000",
"number": "1124060462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 FARM COLONY DR",
"city": "WARREN",
"state": "PA",
"postal_code": "163655203",
"telephone_number": "716-484-6700",
"fax_number": "716-487-0166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 FARM COLONY DR",
"city": "WARREN",
"state": "PA",
"postal_code": "163655203",
"telephone_number": "716-484-6700",
"fax_number": "716-487-0166"
}
],
"practiceLocations": [
{
"address_1": "297 Evans City Rd",
"address_purpose": "LOCATION",
"city": "Butler",
"state": "PA",
"postal_code": "160012754",
"country_code": "US",
"telephone_number": "724-283-8144",
"fax_number": "724-283-7303",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "462 Fairmount Ave",
"address_purpose": "LOCATION",
"city": "Jamestown",
"state": "NY",
"postal_code": "147012721",
"country_code": "US",
"telephone_number": "716-484-6700",
"fax_number": "716-487-0166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WITCHEY",
"first_name": "RALPH",
"middle_name": "G.",
"name_suffix": "Jr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2021-04-19",
"certification_date": "2021-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OE-G000882",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "151190",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHAMERICA",
"identifier": "65836",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "0604250001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "WI116623",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "50320",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VBA",
"identifier": "9-5-991-P",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "25126",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008713100001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "304695",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "R.R. MEDICARE",
"identifier": "P00207495",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rwitchey@cecs.intellechartdirect.net",
"affiliation": "N",
"address_1": "2 Farm Colony Dr",
"city": "Warren",
"state": "PA",
"country_code": "US",
"postal_code": "163655203",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Warren, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.