Individual provider Active NPI

Alyssa M Taddie, OD

  • Optometrist
  • Wexford, PA
National Provider Identifier
1336661909
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003302 Issued in PA
Practice address
10644 Perry Hwy
Wexford, PA 15090-9245
Phone
(724) 940-5300
Fax
(724) 940-5304
NPI assigned
Jul 14, 2017
Last updated
Feb 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003302 PA Primary

Addresses

Primary practice location

10644 Perry Hwy
Wexford, PA 15090-9245

Mailing address

10644 Perry Hwy
Wexford, PA 15090-9245

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherPANONE

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
I20190226000622 PA Practitioner - Optometry 0345589925 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Pennsylvania Professional IncGroup PAC ID 7719218593, 80 clinicians
Bittner Vision AssociatesGroup PAC ID 9032156997, 5 clinicians

Practice addresses (Care Compare)

10644 Perry Hwy
Wexford, PA 15090-9245
Phone (724) 940-5300

2384 Ferguson Rd
Allison Park, PA 15101-3550
Phone (412) 486-1043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003302PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Pennsylvania Professional, Inc Optometrist CurrentSince Jul 3, 2023 Accepting new patients
Aeg Pennsylvania Professional, Inc Optometrist CurrentSince Jul 3, 2023 Accepting new patients
Kelsey a Jancaro OD LLC Optometrist CurrentSince Sep 1, 2022 Accepting new patients
Aeg Pennsylvania Professional Inc Optometrist CurrentSince Jun 5, 2024 Accepting new patients
Aeg Pennsylvania Professional, Inc Optometrist Past Accepting new patients

Locations

261 Sunset Dr
Butler, PA 16001
Phone (724) 283-2500

93 W Devon Dr
Ste 101
Exton, PA 19341
Phone (610) 363-8960

187 Scharberry Ln
Mars, PA 16046
Phone (724) 591-5501

2460 Robinson Center Dr
Pittsburgh, PA 15205
Phone (412) 788-5353

4885 McKnight Rd
Ste 2
Pittsburgh, PA 15237
Phone (412) 548-3214

10644 Perry Hwy
Wexford, PA 15090
Phone (724) 940-5300

4835 Lyndon B Johnson Fwy
Ste 850
Dallas, TX 75244

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1336661909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10644 PERRY HWY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10644 PERRY HWY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909245",
            "telephone_number": "724-940-5300",
            "fax_number": "724-940-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADDIE",
        "first_name": "ALYSSA",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-14",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.