Individual provider Active NPI

Judith Elaine Uphold, O.D.

  • Optometrist
  • Uniontown, PA
National Provider Identifier
1699189662
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002952 Issued in PA
Practice address
160 Wayland Smith Dr
Suite 100
Uniontown, PA 15401-7500
Phone
(724) 437-1300
NPI assigned
Jun 17, 2014
Last updated
Nov 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002952 PA Primary
Optometrist 152W00000X 2011IOD1 WV

Addresses

Primary practice location

160 Wayland Smith Dr
Suite 100
Uniontown, PA 15401-7500

Mailing address

160 Wayland Smith Dr
Suite 100
Uniontown, PA 15401-7500
Phone (724) 437-1300

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
I20141211000674 PA Practitioner - Optometry 2769704295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Youngwood Eye Care IncGroup PAC ID 1052674892, 3 clinicians

Practice addresses (Care Compare)

310 N 3Rd St
Unit 1
Youngwood, PA 15697-1614
Phone (724) 925-2341

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2011IOD1WVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Youngwood Eye Care, Inc Optometrist CurrentSince Mar 1, 2023 Accepting new patients

Locations

310 N 3rd St
#1
Youngwood, PA 15697
Phone (724) 925-2341

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, 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": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1699189662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 WAYLAND SMITH DR",
            "address_2": "SUITE 100",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154017500",
            "telephone_number": "724-437-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 WAYLAND SMITH DR",
            "address_2": "SUITE 100",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154017500",
            "telephone_number": "724-437-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPHOLD",
        "first_name": "JUDITH",
        "middle_name": "ELAINE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002952",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "2011IOD1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

Verify at the official NPI Registry.