Theodore Paul Werblin, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

12870 Issued in WV

Practice address

1051 Stafford Dr
Princeton, WV 24740-2409

Phone

(304) 487-6123

Fax

(304) 425-2631

NPI assigned

Jun 15, 2005

Last updated

Dec 7, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Theodore P. Werblin MD, PC.

  dba Elegant Eyes

  • Optician
  • Princeton, WV
  • NPI 1174549620
  Authorized official Same address or phone

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1356346662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 STAFFORD DR",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402409",
            "telephone_number": "304-487-6123",
            "fax_number": "304-425-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 STAFFORD DR",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402409",
            "telephone_number": "304-487-6123",
            "fax_number": "304-425-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERBLIN",
        "first_name": "THEODORE",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WV",
            "license": "12870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0096798001",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0096798000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "theodore.werblin.p1@direct.werblin.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1051 Stafford Dr",
            "city": "Princeton",
            "state": "WV",
            "country_code": "US",
            "postal_code": "247402409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ralph McKinley Weikel Jr.
• Donna Weis
• Amy Katherine Weiss, MSW, LICSW
• Mark Anthony Weitzel, D.O.
• Laken J Wellman
• West Virginia CVS Pharmacy LLC (CVS Pharmacy 06314)
• West Virginia Drug Testing Laboratories,
• Alexus Westfall, LPN
• Corey Westfall, PRSS
• Erik John Weston, OTR/L

• Ophthalmology Physician in Princeton, WV
• Providers in Princeton, WV by specialty
• Ophthalmology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.