Organization Active NPI

Werner Eye Associates, PC

  • Ophthalmology Physician
  • State College, PA
National Provider Identifier
1184658106
Registry record updated Jan 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
WERNER EYE ASSOCIATES, PC
Practice address
507 Locust LN
State College, PA 16801-5419
Phone
(814) 237-4105
Fax
(814) 237-5663
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2018

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

Authorized official

Name
Mr. Adam Jason Marcovitch, MDNPI 1235132051
Title
Owner/President
Phone
(814) 237-4105

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

507 Locust LN
State College, PA 16801-5419

Mailing address

507 Locust LN
State College, PA 16801-5419
Phone (814) 237-4105

Other names 1

  • Centre Eye Physicians and Surgeons Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061116000045 PA Part B Supplier - Clinic/Group Practice 7810995461 Receives reassigned benefits from 2 practitioners
Practice locations: Philipsburg, PA; State College, PA

National Provider Directory

National Provider Directory

Locations

1057 N Front St
#12
Philipsburg, PA 16866

1061 N Front St
Ste 2
Philipsburg, PA 16866
Phone (814) 231-7888

1057 N Front St
Philipsburg, PA 16866
Phone (814) 342-2444

1057 N Front St
Ste 12
Philipsburg, PA 16866

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515024000000",
    "number": "1184658106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 LOCUST LN",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168015419",
            "telephone_number": "814-237-4105",
            "fax_number": "814-237-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 LOCUST LN",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168015419",
            "telephone_number": "814-237-4105",
            "fax_number": "814-237-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WERNER EYE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2018-01-04",
        "status": "A",
        "authorized_official_last_name": "MARCOVITCH",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "814-237-4105",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centre Eye Physicians and Surgeons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.