Richard E Sheaffer & Phillip L Wise

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001244 Issued in PA

Legal business name

RICHARD E SHEAFFER & PHILLIP L WISE

Practice address

326 Broad St
Selinsgrove, PA 17870-1512

Phone

(570) 374-8136

Fax

(570) 374-0462

NPI assigned

Mar 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Richard Edgar Sheaffer, O.D.

Title

Partner

Phone

(570) 374-8136

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1417916404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 BROAD ST",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178701512",
            "telephone_number": "570-374-8136",
            "fax_number": "570-374-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 BROAD ST",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178701512",
            "telephone_number": "570-374-8136",
            "fax_number": "570-374-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD E SHEAFFER & PHILLIP L WISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "SHEAFFER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "EDGAR",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "570-374-8136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "12549200",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "1592",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012999300005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Gerard Pronek, D.C.
• Allison Rague
• Venkataraman Rajagopalan, MD
• Christina Marlo Raup, CRNP
• Gregory T. Reese, D.C.
• Renee Richie
• Angela Maria Rickabaugh, PHARMD
• Riverside Medical Supply LLC
• Riverview Orthotics Prosthetics Inc
• Michelle Lynn Robatin, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.