Individual provider Active NPI

Stephen M Reinsel, O.D.

  • Low Vision Rehabilitation Optometrist
  • Seneca, PA
National Provider Identifier
1659626638
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
OEG002685 Issued in PA
Practice address
3285 State Route 257
Seneca, PA 16346-2529
Phone
(814) 677-6636
Fax
(814) 677-9562
NPI assigned
Jul 17, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X OEG002685 PA
Sports Vision Optometrist 152WS0006X OEG002685 PA
Low Vision Rehabilitation Optometrist 152WL0500X OEG002685 PA Primary

Addresses

Primary practice location

3285 State Route 257
Seneca, PA 16346-2529

Mailing address

3285 State Route 257
Seneca, PA 16346-2529
Phone (814) 677-6636

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

State licenses

LicenseStateTypeSpecialty
OEG002685PAMDLow Vision Rehabilitation Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wagner Family Eyecare, PC Low Vision Rehabilitation CurrentSince Jul 23, 2012 Accepting new patients

Locations

3285 State Route 257
Seneca, PA 16346
Phone (814) 677-6636

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": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510617600000",
    "number": "1659626638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3285 STATE ROUTE 257",
            "city": "SENECA",
            "state": "PA",
            "postal_code": "163462529",
            "telephone_number": "814-677-6636",
            "fax_number": "814-677-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3285 STATE ROUTE 257",
            "city": "SENECA",
            "state": "PA",
            "postal_code": "163462529",
            "telephone_number": "814-677-6636",
            "fax_number": "814-677-9562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINSEL",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-17",
        "last_updated": "2017-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "PA",
            "license": "OEG002685",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "PA",
            "license": "OEG002685",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "PA",
            "license": "OEG002685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.