NPIMap

Organization Active NPI

Judith a Wentzel

Doing business as Mon Valley Vision Center

  • Optician
  • New Eagle, PA
National Provider Identifier
1679661771
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
JUDITH A WENTZEL
Doing business as
Mon Valley Vision Center
Practice address
120 Main Street
New Eagle, PA 15067
Phone
(724) 258-3773
Fax
(724) 258-4805
NPI assigned
Oct 11, 2006
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Mrs. Judith A Zewe, OPTICIAN
Title
Optician Owner
Phone
(724) 258-3773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X PA Primary

Addresses

Primary practice location

120 Main Street
New Eagle, PA 15067

Mailing address

120 Main Street PO Box 430
New Eagle, PA 15067
Phone (724) 258-3773

Other names 1

  • Mon Valley Vision Center Doing business as

National Provider Directory

National Provider Directory

Locations

120 Main St
New Eagle, PA 15067
Phone (724) 258-3773

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1679661771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MAIN STREET PO BOX 430",
            "city": "NEW EAGLE",
            "state": "PA",
            "postal_code": "15067",
            "telephone_number": "724-258-3773",
            "fax_number": "724-258-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MAIN STREET",
            "city": "NEW EAGLE",
            "state": "PA",
            "postal_code": "15067",
            "telephone_number": "724-258-3773",
            "fax_number": "724-258-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH A WENTZEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "ZEWE",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTICIAN OWNER",
        "authorized_official_telephone_number": "724-258-3773",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mon Valley Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Eagle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.