Jaclyn Ann Waddell, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG003177 Issued in PA

Practice address

475 E Bruceton Rd
Pittsburgh, PA 15236-4503

Phone

(412) 892-9767

Fax

(412) 892-9768

NPI assigned

Jun 23, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sharon C O'Rourke OD LLCGroup PAC ID 2860554409, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Sharon C. O'Rourke, O.D. LLC

  • Optometrist
  • Pittsburgh, PA
  • NPI 1346455912
  Medicare reassignment Care Compare group NPD
• Alexander Chang MD PC

  • Ophthalmology Physician
  • Pittsburgh, PA
  • NPI 1386861995

  Optometrist

  Medicare reassignment NPD
• Alexander Chang MD PC

  • Eyewear Supplier
  • Pittsburgh, PA
  • NPI 1275719536
  NPD

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1801247614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 E BRUCETON RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152364503",
            "telephone_number": "412-892-9767",
            "fax_number": "412-892-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 E BRUCETON RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152364503",
            "telephone_number": "412-892-9767",
            "fax_number": "412-892-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADDELL",
        "first_name": "JACLYN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony G. Wach, DMD
• Carolyn Gayle Wachtel, RN, BSN
• Sarah Wack, M.D.
• Christine Wackowski, CRNP
• Richard Wadas, MD
• Waddington Rehab Center LLC
• Robert Donald Waddington, MSW
• Allison D Wade, PA-C
• Andrew Michael Wade, RDN, LDN
• Elise Marie Wade, RD, LDN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.