Alpha Optical Wyomissing, LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

ALPHA OPTICAL WYOMISSING, LLC

Practice address

714 Woodland Rd
Wyomissing, PA 19610-3231

Phone

(484) 772-8121

Fax

(610) 374-2808

NPI assigned

Sep 18, 2017

Organization subpart

Yes

Parent organization

ALPHA OPTICAL GROUP, LLC SOLE MEMBERAs reported in NPPES

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

Authorized official

Name

Gretchen J Brewer, OD

Title

Owner

Phone

(484) 772-8121

Specialties & licenses 1

Addresses

Part of

Alpha Optical Wyomissing LLC

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505692800000",
    "number": "1225557655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 BRISTOL PIKE STE 2-220",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205361",
            "telephone_number": "215-497-1001",
            "fax_number": "215-639-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 WOODLAND RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103231",
            "telephone_number": "484-772-8121",
            "fax_number": "610-374-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA OPTICAL WYOMISSING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALPHA OPTICAL GROUP, LLC SOLE MEMBER",
        "enumeration_date": "2017-09-18",
        "last_updated": "2017-09-18",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-772-8121",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alliance Community Healthcare, Inc.
• Alliance PA Pharmacy, LLC.
• Leslian Almonte Diaz
• Angel Jesus Almonte, LPC
• Alpha Eye Wyomissing, LLC
• Adam J Altman, MD
• John F Altomare, M.D.
• Anastasia Alvarez
• Stacey L Ambrose, MSN, CRNP
• Amdent LTD

• Optician in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Optician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.