Individual provider Active NPI

Harry W Wertsch, OD

  • Optometrist
  • Lititz, PA
National Provider Identifier
1558354795
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001058 Issued in PA
Practice address
65 E Main St
Lititz, PA 17543-1941
Phone
(717) 626-8100
Fax
(717) 626-0389
NPI assigned
Aug 23, 2005
Last updated
Dec 7, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001058 PA Primary

Addresses

Primary practice location

65 E Main St
Lititz, PA 17543-1941

Mailing address

65 E Main St
Lititz, PA 17543-1941
Phone (717) 626-8100

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1558354795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 E MAIN ST",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175431941",
            "telephone_number": "717-626-8100",
            "fax_number": "717-626-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 E MAIN ST",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175431941",
            "telephone_number": "717-626-8100",
            "fax_number": "717-626-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERTSCH",
        "first_name": "HARRY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lititz, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.

Verify at the official NPI Registry.