Komal Wahi, OD, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001494 Issued in PA

Legal business name

KOMAL WAHI, OD, LLC

Practice address

567 Route 100 North
Walmart Vision Center
Bechtelsville, PA 19505

Phone

(610) 367-1076

NPI assigned

Aug 29, 2008

Organization subpart

No

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

Authorized official

Name

Komal Wahi, O.D.NPI 1114990488

Title

Owner

Phone

(610) 367-1076

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Komal Wahi, OD

  • Optometrist
  • Bechtelsville, PA
  • NPI 1114990488
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1376791525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 ROUTE 100 NORTH",
            "address_2": "WALMART VISION CENTER",
            "city": "BECHTELSVILLE",
            "state": "PA",
            "postal_code": "19505",
            "telephone_number": "610-367-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 ROUTE 100 NORTH",
            "address_2": "WALMART VISION CENTER",
            "city": "BECHTELSVILLE",
            "state": "PA",
            "postal_code": "19505",
            "telephone_number": "610-367-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOMAL WAHI, OD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-29",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "WAHI",
        "authorized_official_first_name": "KOMAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-367-1076",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shushma Nedunuri, PT, DPT
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• Luann Orehek Reno
• Komal Wahi, OD
• Wal-Mart Stores East LP

• Optometrist in Bechtelsville, PA
• Providers in Bechtelsville, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.