Individual provider Active NPI

Sarah Tiffany Wise, O.D.

  • Optometrist
  • Trappe, PA
National Provider Identifier
1548460751
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001957 Issued in 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
Last updated
May 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001957 PA Primary

Addresses

Primary practice location

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

Mailing address

115 W Main St
Suite a
Trappe, PA 19426-2004
Phone (610) 831-8060

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
I20150618000573 PA Practitioner - Optometry 6608187554 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Family Eyecare, LTDGroup PAC ID 4688746258, 5 clinicians

Practice addresses (Care Compare)

1806 Swamp Pike
Suite 400
Gilbertsville, PA 19525-9307
Phone (610) 323-4445

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG001957PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Nov 26, 2018 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Nov 26, 2018 Accepting new patients
Complete Family Eyecare, LTD Optometrist CurrentSince Mar 28, 2023 Accepting new patients

Locations

1806 Swamp Pike
#400
Gilbertsville, PA 19525
Phone (610) 323-4445

2842 S Eagle Rd
Newtown, PA 18940
Phone (215) 579-1155

115 W Main St
Ste A
Trappe, PA 19426
Phone (610) 831-8060

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

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, 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": "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": []
}

Other providers in Trappe, PA

Sources for this page

Verify at the official NPI Registry.