Organization Active NPI

Dr. Steven C. Weller, Inc.

Doing business as Rising Sun Eyecare Associates

  • Optometrist
  • Millersburg, PA
National Provider Identifier
1689219222
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR. STEVEN C. WELLER, INC.
Practice address
670 Rising Sun Rd
Millersburg, PA 17061-1245
Phone
(717) 692-2122
Fax
(717) 692-4183
NPI assigned
Nov 7, 2019
Last updated
Nov 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Authorized official

Name
Gina L. Wetzel
Title
Office Manager
Phone
(717) 692-2122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

670 Rising Sun Rd
Millersburg, PA 17061-1245

Mailing address

670 Rising Sun Rd
Millersburg, PA 17061-1245
Phone (717) 692-2122

Other identifiers 1

IdentifierTypeStateIssuer
1598700098OtherPANPI

Other names 1

  • Rising Sun Eyecare Associates Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191114003323 PA Part B Supplier - Clinic/Group Practice 3971935891 Receives reassigned benefits from 2 practitioners
Practice locations: Millersburg, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1573084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573689600000",
    "number": "1689219222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 RISING SUN RD",
            "city": "MILLERSBURG",
            "state": "PA",
            "postal_code": "170611245",
            "telephone_number": "717-692-2122",
            "fax_number": "717-692-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 RISING SUN RD",
            "city": "MILLERSBURG",
            "state": "PA",
            "postal_code": "170611245",
            "telephone_number": "717-692-2122",
            "fax_number": "717-692-4183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. STEVEN C. WELLER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-14",
        "status": "A",
        "authorized_official_last_name": "WETZEL",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "717-692-2122"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1598700098",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rising Sun Eyecare Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rising Sun Eyecare Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Millersburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.