Individual provider Active NPI

John Albert Wetherhold Sr., O.D.

  • Optometrist
  • Harrisburg, PA
National Provider Identifier
1740382290
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000419 Issued in PA
Practice address
235 Division St
Harrisburg, PA 17110-1213
Phone
(717) 233-8783
Fax
(717) 233-2221
NPI assigned
Sep 4, 2006
Last updated
Feb 25, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000419 PA Primary

Addresses

Primary practice location

235 Division St
Harrisburg, PA 17110-1213

Mailing address

235 Division St
Harrisburg, PA 17110-1213
Phone (717) 233-8783

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
I20051026000880 PA Practitioner - Optometry 4486671716 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Doctors of Lancaster LTDGroup PAC ID 9032108675, 7 clinicians

Practice addresses (Care Compare)

485 Royer Dr
Suite 103
Lancaster, PA 17601-5102
Phone (717) 560-4020

Merit-based Incentive Payment System (MIPS)

Final score
91.09 of 100Reported as group
Quality
95.01
Improvement activities
40
Cost
76.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OEG000419PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors of Lancaster LTD CurrentSince Nov 28, 2022 Accepting new patients
Morrison Eye Associates Inc Optometrist CurrentSince Jun 1, 2009 Accepting new patients
Dr. Steven C. Weller, Inc. Optometrist Past Accepting new patients
Dr. Steven C. Weller, Inc. Optometrist PastSince Sep 12, 2019 Accepting new patients
Edol Optical Inc PastSince Nov 28, 2022 Accepting new patients

Locations

235 Division St
Harrisburg, PA 17110
Phone (717) 223-8783

2 Briarcrest Sq
Hershey, PA 17033
Phone (717) 533-2362

485 Royer Dr
Ste 103
Lancaster, PA 17601
Phone (717) 560-4020

Organizations & group practices 5

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": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267056000000",
    "number": "1740382290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 DIVISION ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171101213",
            "telephone_number": "717-233-8783",
            "fax_number": "717-233-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 DIVISION ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171101213",
            "telephone_number": "717-233-8783",
            "fax_number": "717-233-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETHERHOLD",
        "first_name": "JOHN",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-04",
        "last_updated": "2010-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.