Active NPI
Robert W. Prazer, OD
- Optometrist
- Wexford, PA
National Provider Identifier
1780745786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG001183
- Practice address
- 110 Vip Dr
Wexford, PA 15090-6923 - Phone
- (724) 935-9999
- Fax
- (724) 935-9974
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG001183 | PA | Primary |
Addresses
Primary practice location
110 Vip Dr
Wexford, PA 15090-6923
Mailing address
110 Vip Drive
Wexford, PA 15090-6923
Phone (724) 935-9999
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Vip Dr
Suite 301
Wexford, PA 15090-6923
Phone (724) 935-9999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG001183 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aeg Pennsylvania Professional Inc | Optometrist | Current | Accepting new patients |
| Aeg Pennsylvania Professional, Inc | Optometrist | Past | Accepting new patients |
Locations
211 E Broadway
Alton, IL 62002
Phone (314) 787-0681
187 Scharberry Ln
Mars, PA 16046
Phone (724) 591-5501
110 Vip Dr
Ste 301
Wexford, PA 15090
Phone (724) 935-9999
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Pittsburgh, PA
- NPI 1851958854
-
- Optometrist
- Pittsburgh, PA
- NPI 1932604220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234137600000",
"number": "1780745786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 VIP DRIVE",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150906923",
"telephone_number": "724-935-9999",
"fax_number": "724-935-9974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 VIP DR",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150906923",
"telephone_number": "724-935-9999",
"fax_number": "724-935-9974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRAZER",
"first_name": "ROBERT",
"middle_name": "W.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2009-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG001183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wexford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; 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.