Organization Active NPI

Greater Wilkes-Barre Association for the Blind

  • Public Health or Welfare Agency
  • Exeter, PA
National Provider Identifier
1275712705
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
GREATER WILKES-BARRE ASSOCIATION FOR THE BLIND
Practice address
1825 Wyoming Ave
Exeter, PA 18643-1444
Phone
(570) 693-3555
Fax
(570) 693-1307
NPI assigned
Nov 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Dr. Ronald V Petrilla, PH.D.
Title
Executive Director
Phone
(570) 693-3555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

1825 Wyoming Ave
Exeter, PA 18643-1444

Mailing address

1825 Wyoming Ave
Exeter, PA 18643-1444
Phone (570) 693-3555

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1275712705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 WYOMING AVE",
            "city": "EXETER",
            "state": "PA",
            "postal_code": "186431444",
            "telephone_number": "570-693-3555",
            "fax_number": "570-693-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 WYOMING AVE",
            "city": "EXETER",
            "state": "PA",
            "postal_code": "186431444",
            "telephone_number": "570-693-3555",
            "fax_number": "570-693-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER WILKES-BARRE ASSOCIATION FOR THE BLIND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "PETRILLA",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "570-693-3555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.