NPIMap

Organization Active NPI

Dr. Wayne a. Mundis

  • Eyewear Supplier
  • Glen Rock, PA
National Provider Identifier
1386825644
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
5274-P Issued in PA
Legal business name
DR. WAYNE A. MUNDIS
Practice address
46 Water St
Glen Rock, PA 17327-1011
Phone
(717) 235-1346
Fax
(717) 235-4843
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Dr. Wayne Alan Mundis, O.D.
Title
Owner
Phone
(717) 235-1346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 5274-P PA Primary

Addresses

Primary practice location

46 Water St
Glen Rock, PA 17327-1011

Mailing address

46 Water St
Glen Rock, PA 17327-1011
Phone (717) 235-1346

Other identifiers 1

IdentifierTypeStateIssuer
0516520001OtherPADMERC REGION A

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1386825644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 WATER ST",
            "city": "GLEN ROCK",
            "state": "PA",
            "postal_code": "173271011",
            "telephone_number": "717-235-1346",
            "fax_number": "717-235-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 WATER ST",
            "city": "GLEN ROCK",
            "state": "PA",
            "postal_code": "173271011",
            "telephone_number": "717-235-1346",
            "fax_number": "717-235-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. WAYNE A. MUNDIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "MUNDIS",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-235-1346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "PA",
            "license": "5274-P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION A",
            "identifier": "0516520001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Rock, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.