Individual provider Active NPI

Jamie Wohlhagen, O.D.

  • Optometrist
  • Wilmington, DE
National Provider Identifier
1487993143
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
I3-0001358 Issued in DE
Practice address
3501 Silverside Rd
Naamans BLDG.
Wilmington, DE 19810-4910
Phone
(302) 479-3937
Fax
(302) 477-2653
NPI assigned
Jan 31, 2013
Last updated
Mar 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X I3-0001358 DE Primary

Addresses

Primary practice location

3501 Silverside Rd
Naamans BLDG.
Wilmington, DE 19810-4910

Mailing address

3501 Silverside Rd
Naamans BLDG.
Wilmington, DE 19810-4910
Phone (302) 479-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20130408000009 DE Practitioner - Optometry 5395980742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1941 Limestone Rd
Suite 205
Wilmington, DE 19808-5400
Phone (302) 479-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Ophthalmology Consultants PA Optometrist CurrentSince Feb 28, 2013 Accepting new patients
Delaware Ophthalmology Consultants PA Optometrist CurrentSince Feb 28, 2013 Accepting new patients

Locations

1941 Limestone Rd
Ste 205
Wilmington, DE 19808
Phone (302) 479-3937

3501 Silverside Rd
Wilmington, DE 19810
Phone (302) 479-3937

3509 Silverside Rd
Wilmington, DE 19810
Phone (302) 477-2621

Interoperability endpoints

  • Direct secure messaging: jwohlhagen@doc.intellechartdirect.net
  • Direct secure messaging: jwohlhagen@doc1004.srs-direct.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1487993143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 SILVERSIDE RD",
            "address_2": "NAAMANS BLDG.",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104910",
            "telephone_number": "302-479-3937",
            "fax_number": "302-477-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 SILVERSIDE RD",
            "address_2": "NAAMANS BLDG.",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104910",
            "telephone_number": "302-479-3937",
            "fax_number": "302-477-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOHLHAGEN",
        "first_name": "JAMIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-31",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I3-0001358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.