David Michael Werner, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001492 Issued in PA

Practice address

362 St. Clair Highway
Pottsville, PA 17901

Phone

(570) 621-2020

Fax

(570) 628-4933

NPI assigned

Jan 8, 2007

Last updated

Jun 14, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Independence CorporationGroup PAC ID 0749351005, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Independence Corporation

  dba Eyeland Optical Inc.

  • Optometrist
  • Whitehall, PA
  • NPI 1972549657
  Medicare reassignment Care Compare group NPD
• Ben Domiano Optical Incorporated

  • Optician
  • Old Forge, PA
  • NPI 1639125214
  Medicare reassignment
• Independence Corporation

  dba Eyeland Optical Inc.

  • Optometrist
  • Ephrata, PA
  • NPI 1386928208
  NPD
• Ben Domiano Optical Center LLC

  • Optician
  • Old Forge, PA
  • NPI 1992090096

  Optometrist

  NPD (past)
• Luxottica Retail North America Inc

  dba Sears Optical #C0561

  • Eyewear Supplier
  • Pennsdale, PA
  • NPI 1144377086
  NPD (past)
• Luxottica of America Inc

  dba Lenscrafters #E895

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1710035712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 INDIAN CREEK DR",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187027825",
            "telephone_number": "570-239-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 ST. CLAIR HIGHWAY",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "17901",
            "telephone_number": "570-621-2020",
            "fax_number": "570-628-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNER",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025215740001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Weis Markets Inc (Weis Pharmacy)
• Justine Constance Weiss, RD LDN
• Ilene Katz Weizer, MD
• Denis Wenders, OD
• Chelsea Wentworth
• Darren Kyle Wertman
• Kira Wertz
• West Market Family Dental Care LLC
• Sierra West, DO
• Heaven Westbrooks, PA-C

• Optometrist in Pottsville, PA
• Providers in Pottsville, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.