Individual provider Active NPI

Anderson Werner, OD

  • Optometrist
  • Walnutport, PA
National Provider Identifier
1336814706
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003829 Issued in PA
Practice address
301 N Best Ave
Walnutport, PA 18088-1206
Phone
(610) 767-1555
NPI assigned
Aug 9, 2021
Last updated
Aug 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003829 PA Primary

Addresses

Primary practice location

301 N Best Ave
Walnutport, PA 18088-1206

Mailing address

5429 Birchwood CT
Orefield, PA 18069-9034

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
I20220818003790 PA Practitioner - Optometry 9133525892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
F. Joseph Werner, O.D. PCGroup PAC ID 1658440987, 3 clinicians

Practice addresses (Care Compare)

336 S Broadway
Wind Gap, PA 18091-1407
Phone (610) 863-5665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003829PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
F. Joseph Werner, O.D. PC Optometrist CurrentSince Aug 2, 2022 Accepting new patients

Locations

336 S Broadway
Wind Gap, PA 18091
Phone (610) 863-5665

Organizations & group practices 1

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": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1336814706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5429 BIRCHWOOD CT",
            "city": "OREFIELD",
            "state": "PA",
            "postal_code": "180699034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N BEST AVE",
            "city": "WALNUTPORT",
            "state": "PA",
            "postal_code": "180881206",
            "telephone_number": "610-767-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNER",
        "first_name": "ANDERSON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnutport, PA

Sources for this page

Verify at the official NPI Registry.