Organization Active NPI

Dr. Alethea Wessner LLC

  • Optometrist
  • Pine Grove, PA
National Provider Identifier
1881966265
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000477 Issued in 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
Last updated
Feb 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Authorized official

Name
Dr. Alethea Wessner, D.O.NPI 1336275122
Title
Optometrist/Owner
Phone
(570) 345-0188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG000477 PA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory

Locations

231 S Tulpehocken St
Pine Grove, PA 17963
Phone (570) 345-0188

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1881966265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 S TULPEHOCKEN ST",
            "city": "PINE GROVE",
            "state": "PA",
            "postal_code": "179631037",
            "telephone_number": "570-345-0188",
            "fax_number": "570-345-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 S TULPEHOCKEN ST",
            "city": "PINE GROVE",
            "state": "PA",
            "postal_code": "179631037",
            "telephone_number": "570-345-0188",
            "fax_number": "570-345-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ALETHEA WESSNER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "WESSNER",
        "authorized_official_first_name": "ALETHEA",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "570-345-0188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.