Sarah Tiffany Wise, O.D.

Key facts

NPI

1548460751

Entity type

Individual (NPI type 1)

Primary specialty

Optometrist 152W00000X

License

OEG001957 (PA)

Practice address

115 W Main St
Suite a
Trappe, PA 19426-2004

Phone

(610) 831-8060

Fax

(610) 831-8061

NPI assigned

Jul 25, 2007

Sex

Female

Sole proprietor

No

Organizations & group practices 4

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.

• Complete Family Eyecare, LTD Optometrist · Gilbertsville, PA · NPI 1467629089
  Medicare reassignment Care Compare group NPD OPTOMETRIST · PA
• Myeyedr Optometry of Pennsylvania, LLC Optometrist · Carlisle, PA · NPI 1003264607
  Medicare reassignment NPD OPTOMETRIST · PA
• Myeyedr Optometry of Pennsylvania, LLC Optometrist · Cranberry Township, PA · NPI 1093688491
  NPD OPTOMETRIST
• Myeyedr Optometry of Pennsylvania, LLC Optometrist · Southampton, PA · NPI 1447761200
  NPD OPTOMETRIST

Medicare Care Compare profile

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Complete Family Eyecare, LTD (5 clinicians)

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 12, 2015.

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1548460751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W MAIN ST",
            "address_2": "SUITE A",
            "city": "TRAPPE",
            "state": "PA",
            "postal_code": "194262004",
            "telephone_number": "610-831-8060",
            "fax_number": "610-831-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W MAIN ST",
            "address_2": "SUITE A",
            "city": "TRAPPE",
            "state": "PA",
            "postal_code": "194262004",
            "telephone_number": "610-831-8060",
            "fax_number": "610-831-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "SARAH",
        "middle_name": "TIFFANY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Melissa Ann Volk, DPT
• Adrianne Wagner, LMFT
• Kenneth A Ward, D.C.
• Robert B Weber, DPM
• Aisha Siera Wright
• Michele Yonkovitch, LMT

All providers in Trappe, PA · Optometrist in Pennsylvania