Individual provider Active NPI

Alexandra Lynn Mercurio-Woch, O.D.

  • Optometrist
  • Allentown, PA
National Provider Identifier
1487067427
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002931 Issued in PA
Practice address
401 N 17TH St
Suite 103
Allentown, PA 18104-5034
Phone
(610) 969-3070
Fax
(610) 969-3073
NPI assigned
Jun 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002931 PA Primary
Pediatric Optometrist 152WP0200X OEG002931 PA

Addresses

Primary practice location

401 N 17TH St
Suite 103
Allentown, PA 18104-5034

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140728002255 PA Practitioner - Optometry 0840416822 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

401 N 17TH St
210 LVPG Ear Nose and Throat
Allentown, PA 18104-5034
Phone (610) 969-4950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG002931PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Warrington Eye Care PC Optometrist CurrentSince Jul 7, 2014 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Jun 28, 2017 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jun 28, 2017 Accepting new patients

Locations

401 N 17th St
Ste 103
Allentown, PA 18104
Phone (610) 821-9454

2100 Mack Blvd
Fl 4
Allentown, PA 18103

401 N 17th St
Ste 210
Allentown, PA 18104
Phone (610) 821-4920

3701 Corriere Rd
Fl 2
Easton, PA 18045
Phone (484) 591-7080

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

1432 Easton Rd
Ste 3E
Warrington, PA 18976
Phone (215) 491-6000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1487067427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311",
            "telephone_number": "484-884-4500",
            "fax_number": "484-884-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N 17TH ST",
            "address_2": "SUITE 103",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045034",
            "telephone_number": "610-969-3070",
            "fax_number": "610-969-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCURIO-WOCH",
        "first_name": "ALEXANDRA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-07",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002931",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "PA",
            "license": "OEG002931",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.