Active NPI
Harry W Wertsch, OD
- Optometrist
- Lititz, PA
National Provider Identifier
1558354795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG001058
- 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, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.