Individual provider Active NPI

Anna C Wohlgemuth, O.D.

  • Optometrist
  • Jamestown, NY
National Provider Identifier
1578898656
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
60293164 Issued in WA
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

Updated by the provider on Feb 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140528001549 NY Practitioner - Optometry 3870727761 Reassigns benefits to 1 organization

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
Jamestown Optometric Group, PCGroup PAC ID 2365569423, 5 clinicians

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 100Reported as group
Quality
79.13
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60293164WAMDOptometrist

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.

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

Verify at the official NPI Registry.