Active NPI
Lawrence Clifton Wei, MD
- Ophthalmology Physician
- Coudersport, PA
National Provider Identifier
1578745824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD033374E
- Legal business name
- LAWRENCE CLIFTON WEI, MD
- Practice address
- 1001 E 2ND St
Coudersport, PA 16915-8161 - Phone
- (814) 274-7910
- NPI assigned
- Nov 28, 2007
- Last updated
- Nov 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lawrence C Wei
- Title
- Owner
- Phone
- (814) 274-7910
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD033374E | PA | Primary |
Addresses
Primary practice location
1001 E 2ND St
Coudersport, PA 16915-8161
Mailing address
1001 E 2ND St
Coudersport, PA 16915-8161
Phone (814) 274-7910
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010078660005 | Medicaid | PA | |
| 723061 | Other | KEYSTONE HEALTH WEST | |
| 220038 | Other | UPMC HEALTH | |
| 101090 | Other | BLUE SHIELD HIGHMARK | |
| P013516 | Other | CHAMPUS | |
| 5035931 | Other | BLUE SHIELD WESTERN NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Coudersport, PA
- NPI 1831106269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196380800000",
"number": "1578745824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 E 2ND ST",
"city": "COUDERSPORT",
"state": "PA",
"postal_code": "169158161",
"telephone_number": "814-274-7910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 E 2ND ST",
"city": "COUDERSPORT",
"state": "PA",
"postal_code": "169158161",
"telephone_number": "814-274-7910"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAWRENCE CLIFTON WEI, MD",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-28",
"last_updated": "2007-11-30",
"status": "A",
"authorized_official_last_name": "WEI",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "814-274-7910",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD033374E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010078660005",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH WEST",
"identifier": "723061",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC HEALTH",
"identifier": "220038",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD HIGHMARK",
"identifier": "101090",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "P013516",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD WESTERN NY",
"identifier": "5035931",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coudersport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.