Dr. Alethea Wessner LLC
Organization Active NPI Optometrist · Pine Grove, PA
NPI 1881966265 · NPPES record last updated Feb 4, 2013
Key facts
- NPI
- 1881966265
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- OEG000477 (PA)
- Legal business name
- DR. ALETHEA WESSNER LLC
- Practice address
- 231 S Tulpehocken St
Pine Grove, PA 17963-1037 - Phone
- (570) 345-0188
- Fax
- (570) 345-0267
- NPI assigned
- Feb 1, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Alethea Wessner, D.O.
- Title
- Optometrist/Owner
- Phone
- (570) 345-0188
Practitioners 1
-
Alethea Lenore Wessner, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120611000408 | PA | Part B Supplier - Clinic/Group Practice | 4981868544 |
Receives reassigned benefits from 1 practitioner Practice locations: Pine Grove, PA |
| O20180306002209 | PA | DME Supplier - Physician - Optometrist | 4981868544 | Practice locations: Pine Grove, PA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | OEG000477 | PA | Yes |
Addresses
Primary practice location
231 S Tulpehocken St
Pine Grove, PA 17963-1037
Mailing address
231 S Tulpehocken St
Pine Grove, PA 17963-1037
Phone (570) 345-0188
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881966265 | Other | PA | NPI |
Other providers in Pine Grove, PA
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- Crystal Brown
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- Melanie Marie Dennis
- Terry Donmoyer
- Suzanne K. Dubbs
- Paula Elenchin
- Keith Evans
- Corey Fehr
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All providers in Pine Grove, PA · Optometrist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.