Individual provider Active NPI

Richard O. Way Jr., O.D.

  • Optometrist
  • Johnstown, PA
National Provider Identifier
1982701538
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OET-008942 Issued in PA
Practice address
150 Town Centre Dr
Johnstown, PA 15904-2844
Phone
(814) 269-3937
Fax
(814) 266-5431
NPI assigned
Sep 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OET-008942 PA Primary

Addresses

Primary practice location

150 Town Centre Dr
Johnstown, PA 15904-2844

Mailing address

128 Layton LN
Johnstown, PA 15904-4018
Phone (814) 269-3937

Other identifiers 1

IdentifierTypeStateIssuer
0071534040002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OET-008942PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyeway6 Optometrist CurrentSince Sep 20, 2020 Accepting new patients

Locations

150 Town Centre Dr
Johnstown, PA 15904
Phone (814) 266-7009

Organizations & group practices 1

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": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982701538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 LAYTON LN",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159044018",
            "telephone_number": "814-269-3937",
            "fax_number": "814-266-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 TOWN CENTRE DR",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159042844",
            "telephone_number": "814-269-3937",
            "fax_number": "814-266-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAY",
        "first_name": "RICHARD",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OET-008942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0071534040002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.