Michelle A Wetherhold, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000331 Issued in PA

Practice address

235 Division St
Harrisburg, PA 17110-1213

Phone

(717) 233-8783

Fax

(717) 233-2221

NPI assigned

Sep 2, 2005

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

Other identifiers 2

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

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 and National Provider Directory roles.

• Morrison Eye Associates Inc

  • Optometrist
  • Harrisburg, PA
  • NPI 1578557732
  Medicare reassignment NPD
• Visionworks, Inc.

  • Optometrist
  • Erie, PA
  • NPI 1063579837
  Medicare reassignment NPD
• Visionworks, Inc

  • Eyewear Supplier
  • Simpsonville, SC
  • NPI 1699571166
  NPD

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267056000000",
    "number": "1811981061",
    "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": "MICHELLE",
        "middle_name": "A",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2010-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1345227",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "50003483",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sue Hodges West, CRNP
• Ann Weston
• Kevin Charles Westra, D.O.
• Rayven C Westry, RN
• John Albert Wetherhold Sr., O.D.
• Emily Kate Wethington, MT-BC
• Joshua J Wethli, CRNP
• Gary V Wetzel, D.D.S.
• Jessica Weymer
• Shayne Wharton, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.