Active NPI
Joseph Reck, O.D.
- Optometrist
- Wilkes Barre, PA
National Provider Identifier
1457370090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG001832
- Practice address
- 1111 East End Blvd
VA Medical Center
Wilkes-Barre, PA 18711 - Phone
- (570) 824-3521
- NPI assigned
- Jul 18, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG001832 | PA | Primary |
Addresses
Primary practice location
1111 East End Blvd
VA Medical Center
Wilkes-Barre, PA 18711
Mailing address
1434 Robert St
Whitehall, PA 18052-4310
Phone (484) 347-6951
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG001832 | PA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457370090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1434 ROBERT ST",
"city": "WHITEHALL",
"state": "PA",
"postal_code": "180524310",
"telephone_number": "484-347-6951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 EAST END BLVD",
"address_2": "VA MEDICAL CENTER",
"city": "WILKES-BARRE",
"state": "PA",
"postal_code": "18711",
"telephone_number": "570-824-3521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RECK",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG001832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.