Organization Active NPI

Biernacki Wagner Eye Associates PC

  • Optometrist
  • Wilkes Barre, PA
National Provider Identifier
1235608357
Registry record updated Dec 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BIERNACKI WAGNER EYE ASSOCIATES PC
Practice address
82 S Washington St
Wilkes Barre, PA 18701-3029
Phone
(570) 823-0290
NPI assigned
Nov 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2018

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

Authorized official

Name
Joseph Wagner, OD
Title
Owner
Phone
(724) 816-4763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

82 S Washington St
Wilkes Barre, PA 18701-3029

Mailing address

82 S Washington St
Wilkes Barre, PA 18701-3029
Phone (570) 823-0290

Other practice location 1

135 S Mountain Blvd
Mountain Top, PA 18707-1921
Phone (570) 474-6860

National Provider Directory

National Provider Directory

Locations

135 S Mountain Blvd
Mountain Top, PA 18707
Phone (570) 474-6860

NPI Registry JSON

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545955200000",
    "number": "1235608357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 S WASHINGTON ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187013029",
            "telephone_number": "570-823-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 S WASHINGTON ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187013029",
            "telephone_number": "570-823-0290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 S Mountain Blvd",
            "address_purpose": "LOCATION",
            "city": "Mountain Top",
            "state": "PA",
            "postal_code": "187071921",
            "country_code": "US",
            "telephone_number": "570-474-6860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BIERNACKI WAGNER EYE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-12-28",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-816-4763",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; 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.