Gwen Vinroe Coltz, O.D., LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000433 Issued in PA

Legal business name

GWEN VINROE COLTZ, O.D., LLC

Practice address

100 W Main St
Clarion, PA 16214-1070

Phone

(814) 226-3937

NPI assigned

Nov 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gwen Vinroe Coltz, O.D.

Title

Owner/Member

Phone

(814) 226-3937

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1942480371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WEST MAIN STREET",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "16214",
            "telephone_number": "814-226-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W MAIN ST",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162141070",
            "telephone_number": "814-226-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWEN VINROE COLTZ, O.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "COLTZ",
        "authorized_official_first_name": "GWEN",
        "authorized_official_middle_name": "VINROE",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "814-226-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA- RAILROAD",
            "identifier": "DE3926",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Girardi
• Elizabeth Ann Griffin, BS
• Joanne D Grine, PHD, MED,BS
• Guardian Elder Care at Clarion LLC
• Mayank Gupta, MD
• Bethann Hamm, D.O.
• Paul D Hamm, D.O.
• Charity Hansford
• Jeffrey Robert Harman, LAT., ATC.
• Mindy L Hartzell, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.