Individual provider Active NPI

Walter Robert Guss II, O.D.

  • Optometrist
  • Middletown, PA
National Provider Identifier
1205829504
Registry record updated Jul 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG 002173 Issued in PA
Practice address
1093 N Union St
Middletown, PA 17057-2159
Phone
(717) 944-4031
Fax
(717) 944-1890
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 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 OEG 002173 PA Primary

Addresses

Primary practice location

1093 N Union St
Middletown, PA 17057-2159

Mailing address

1093 N Union St
Middletown, PA 17057-2159
Phone (717) 944-4031

Other identifiers 1

IdentifierTypeStateIssuer
021139ZC38OtherPAMEDICARE

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
I20090403000087 PA Practitioner - Optometry 7618024993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1093 N Union St
Middletown, PA 17057-2159
Phone (717) 944-4031

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG 002173PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare-Eyewear Center, P.C. Optometrist CurrentSince Jan 1, 2009 Accepting new patients
Gary Greenberg OD PC Optometrist PastSince Jan 1, 2009 Accepting new patients

Locations

1093 N Union St
Middletown, PA 17057
Phone (717) 944-4031

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": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248912000000",
    "number": "1205829504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1093 N UNION ST",
            "city": "MIDDLETOWN",
            "state": "PA",
            "postal_code": "170572159",
            "telephone_number": "717-944-4031",
            "fax_number": "717-944-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1093 N UNION ST",
            "city": "MIDDLETOWN",
            "state": "PA",
            "postal_code": "170572159",
            "telephone_number": "717-944-4031",
            "fax_number": "717-944-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSS",
        "first_name": "WALTER",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2009-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG 002173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "021139ZC38",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, PA

Sources for this page

Verify at the official NPI Registry.