Individual provider Active NPI

Ralph G. Witchey Jr., O.D.

  • Optometrist
  • Warren, PA
National Provider Identifier
1124060462
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OE-G000882 Issued in PA
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

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
151190OtherGATEWAY
65836OtherHEALTHAMERICA
0604250001OtherDMERC
WI116623OtherBLUE CROSS BLUE SHIELD
50320OtherDAVIS VISION
9-5-991-POtherVBA
25126OtherHEALTH AMERICA
0008713100001MedicaidPA
304695OtherUPMC
P00207495OtherR.R. MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181018002024 NY Practitioner - Optometry 3870513757

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
78 of 100Reported as group
Quality
91.57
Improvement activities
40
Cost
21.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OE-G000882PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.