Individual provider Active NPI

Alexander Joseph Werner, O.D.

  • Optometrist
  • Walnutport, PA
National Provider Identifier
1598309072
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003623 Issued in PA
Practice address
301 N Best Ave
Walnutport, PA 18088-1206
Phone
(610) 767-1555
NPI assigned
Oct 29, 2019
Last updated
Oct 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003623 PA Primary

Addresses

Primary practice location

301 N Best Ave
Walnutport, PA 18088-1206

Mailing address

301 North Best Avenue
P.O. Box #29
Walnutport, PA 18088-0029
Phone (610) 767-1555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20191209000028 PA Practitioner - Optometry 1850724774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
F. Joseph Werner, O.D. PCGroup PAC ID 1658440987, 3 clinicians

Practice addresses (Care Compare)

336 S Broadway
Wind Gap, PA 18091-1407
Phone (610) 863-5665

Merit-based Incentive Payment System (MIPS)

Final score
64.17 of 100Reported as group
Quality
28.33
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
F. Joseph Werner, O.D. PC Optometrist CurrentSince Nov 6, 2019 Accepting new patients

Locations

336 S Broadway
Wind Gap, PA 18091
Phone (610) 863-5665

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1598309072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 NORTH BEST AVENUE",
            "address_2": "P.O. BOX #29",
            "city": "WALNUTPORT",
            "state": "PA",
            "postal_code": "180880029",
            "telephone_number": "610-767-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N BEST AVE",
            "city": "WALNUTPORT",
            "state": "PA",
            "postal_code": "180881206",
            "telephone_number": "610-767-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNER",
        "first_name": "ALEXANDER",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnutport, PA

Sources for this page

Verify at the official NPI Registry.