Active NPI
Stephen M Reinsel, O.D.
- Low Vision Rehabilitation Optometrist
- Seneca, PA
National Provider Identifier
1659626638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Rehabilitation Optometrist
- License
- OEG002685
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| OEG002685 | PA | MD | Low Vision Rehabilitation Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wagner Family Eyecare, PC | Low Vision Rehabilitation | Current | 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.