Individual provider Active NPI

Rebecca L Woodring, OD

  • Optometrist
  • Mars, PA
National Provider Identifier
1841282522
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000714 Issued in PA
Practice address
187 Scharberry Lane
Mars, PA 16046-7864
Phone
(724) 591-5501
NPI assigned
Aug 18, 2005
Last updated
Feb 5, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000714 PA Primary

Addresses

Primary practice location

187 Scharberry Lane
Mars, PA 16046-7864

Mailing address

736 Winter Park Dr
Mars, PA 16046-3950
Phone (724) 772-2202

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
I20040930000993 PA Practitioner - Optometry 6608845185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Pennsylvania Professional IncGroup PAC ID 7719218593, 80 clinicians

Practice addresses (Care Compare)

187 Scharberry LN
Mars, PA 16046-2429
Phone (724) 591-5501

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2035COMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Pennsylvania Professional Inc Optometrist CurrentSince Aug 1, 2019 Accepting new patients
Family Eyecare North, LLC Optometrist PastSince Dec 1, 2017 Accepting new patients
Hellerstein & Brenner Vision Center P.C. Optometrist Past Accepting new patients
Family Eyecare North Inc Optometrist Past Accepting new patients
Aeg Pennsylvania Professional, Inc Optometrist Past Accepting new patients

Locations

187 Scharberry Ln
Mars, PA 16046
Phone (724) 591-5501

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1841282522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 WINTER PARK DR",
            "city": "MARS",
            "state": "PA",
            "postal_code": "160463950",
            "telephone_number": "724-772-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 SCHARBERRY LANE",
            "city": "MARS",
            "state": "PA",
            "postal_code": "160467864",
            "telephone_number": "724-591-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRING",
        "first_name": "REBECCA",
        "middle_name": "L",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mars, PA

Sources for this page

Verify at the official NPI Registry.