Active NPI
Anna C Wohlgemuth, O.D.
- Optometrist
- Jamestown, NY
National Provider Identifier
1578898656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 60293164
- Practice address
- 555 Fairmount Ave
Jamestown, NY 14701-2750 - Phone
- (716) 664-7601
- NPI assigned
- Oct 7, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 60293164 | WA | Primary |
Addresses
Primary practice location
555 Fairmount Ave
Jamestown, NY 14701-2750
Mailing address
380 SE Barrington Dr
Oak Harbor, WA 98277-3266
Phone (360) 675-2235
Other practice location 1
380 SE Barrington Dr
Oak Harbor, WA 98277-3266
Phone (360) 675-2235
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
555 Fairmount Ave
Jamestown, NY 14701-2750
Phone (716) 664-7601
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.57 of 100
- Quality
- 79.13
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 38 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60293164 | WA | MD | Optometrist |
Organizations & group practices 1
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.
-
- Optometrist
- Jamestown, NY
- NPI 1821087248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1578898656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 SE BARRINGTON DR",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "982773266",
"telephone_number": "360-675-2235",
"fax_number": "360-679-2150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 FAIRMOUNT AVE",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147012750",
"telephone_number": "716-664-7601"
}
],
"practiceLocations": [
{
"address_1": "380 SE Barrington Dr",
"address_purpose": "LOCATION",
"city": "Oak Harbor",
"state": "WA",
"postal_code": "982773266",
"country_code": "US",
"telephone_number": "360-675-2235",
"fax_number": "360-679-2150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOHLGEMUTH",
"first_name": "ANNA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-07",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "WA",
"license": "60293164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamestown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.