Individual provider Active NPI

Erin Wisber, O.D.

  • Optometrist
  • Dublin, PA
National Provider Identifier
1669602801
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002223 Issued in PA
Practice address
174 N. Main St
Dublin, PA 18917
Phone
(215) 249-3937
Fax
(215) 249-0437
NPI assigned
Jul 22, 2009
Last updated
Jan 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 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 OEG002223 PA Primary

Addresses

Primary practice location

174 N. Main St
Dublin, PA 18917

Mailing address

174 N. Main St
Dublin, PA 18917
Phone (215) 249-3937

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
I20101004000942 PA Practitioner - Optometry 1951593359 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wisber Eye Care PCGroup PAC ID 7719228394, 4 clinicians

Practice addresses (Care Compare)

174 N Main St
Dublin, PA 18917-2001
Phone (215) 249-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG002223PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wisber Eye Care PC Optometrist CurrentSince Feb 22, 2019 Accepting new patients
Boas Vision Associates LLC Optometrist PastSince Jun 15, 2016 Accepting new patients

Locations

174 N Main St
Dublin, PA 18917
Phone (215) 249-3937

Organizations & group practices 3

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": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1669602801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 N. MAIN ST",
            "city": "DUBLIN",
            "state": "PA",
            "postal_code": "18917",
            "telephone_number": "215-249-3937",
            "fax_number": "215-249-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 N. MAIN ST",
            "city": "DUBLIN",
            "state": "PA",
            "postal_code": "18917",
            "telephone_number": "215-249-3937",
            "fax_number": "215-249-0437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISBER",
        "first_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-22",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, PA

Sources for this page

Verify at the official NPI Registry.