COMMUNITY EYE CARE SPECIALISTS, P.C. (NPI# 1528114311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528114311 |
| Entity Type | Organization |
| Organization Name | COMMUNITY EYE CARE SPECIALISTS, P.C. |
| Practice Address |
2 Farm Colony Drive Warren PA 16365-5206 |
| Practice Telephone | 8147262303 |
| Practice Fax Number | 8147267459 |
| Mailing Telephone | 8147262303 |
| Mailing Fax Number | 8147267459 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | DR. GORDON EDGAR WUEBBOLT (PRESIDENT/OWNER) |
| Authorized Official Telephone | 7164846700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| N | 156FX1100X |
Technician/Technologist Specialization: Ophthalmic |
MD052930L | PA | Eye and Vision Services Providers |
| N | 156FX1100X |
Technician/Technologist Specialization: Ophthalmic |
MD065707L | PA | Eye and Vision Services Providers |
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | WUEBBOLT NPI | 1548234255 | 01 |
| Street Address |
2 FARM COLONY DRIVE |
| City | WARREN |
| State | PA |
| Zip Code | 16365-5206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548234255 | Gordon Edgar Wuebbolt | Technician/Technologist | 2 Farm Colony Drive, Warren, PA 16365-5206 | 2006-02-17 |
| 1982811071 | Community Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 2 Farm Colony Drive, Warren, PA 16365 | 2007-05-17 |
| 1205859550 | Community Surgery & Laser Center, LLC | Clinic/Center | 2 Farm Colony Drive, Warren, PA 16365-5206 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712759 | James Hickey | Dentist | 94 Egypt Hollow Rd, Warren, PA 16365 | 2020-08-31 |
| 1437674579 | Theresa Elizabeth Cook | Speech-Language Pathologist | Rehabworks At Warren General Hospital, Two Crescent Park West, Warren, PA 16365 | 2017-08-10 |
| 1891160982 | Vanessa Frank Humphrey | Occupational Therapy Assistant | 682 Pleasant Drive, Warren, PA 16365 | 2015-12-01 |
| 1740651967 | John L. Harrington | Psychiatry & Neurology | 4 Second Ave. Apt. #2, Warren, PA 16365 | 2015-10-14 |
| 1992046569 | Carrie Lynn Vaughn | Physical Therapy Assistant | 1048 Pennslvania Ave West, Warren, PA 16365 | 2013-03-07 |
| 1750664488 | William Frederick Menz | Pharmacist | 2901 Market Street, (walmart), Warren, PA 16365 | 2011-09-20 |
| 1669617296 | Donald Nicholas Vandamia | Family Medicine | 64 Leda Lane, Warren, PA 16365 | 2008-12-11 |
| 1013187558 | Chad Michael Ristau | Nurse Anesthetist, Certified Registered | 2 Crescent Park West., Warren General Hospital, Warren, PA 16365 | 2008-03-11 |
| 1407072473 | Family Physical Therapy | Physical Therapist | 218 Liberty St, Warren, PA 16365 | 2007-04-18 |
| 1801927330 | Wal-mart Stores East, L.p. | Technician/Technologist | 2901 Market St., Warren, PA 16365 | 2007-03-08 |
| Find all providers in zip 16365 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447670047 | Eye Care Associates Inc | Ophthalmology | 4060 North River Road, Warren, OH 44484-1041 | 2014-04-22 |
| 1255644902 | Amanda Bree Salter | Ophthalmology | 29753 Hoover Rd Ste A, Warren, MI 48093-8900 | 2010-07-23 |
| 1831358381 | Linda Zhang | Ophthalmology | 65 Mountain Blvd. Ext, Ste. 105, Warren, NJ 07059 | 2008-06-09 |
| 1538342886 | Patabi Raj Seetharaman Md | Ophthalmology | 1930 Niles Cortland Rd Ne, Warren, OH 44484-1055 | 2007-12-10 |
| 1255513925 | Belmont Eye Clinic | Ophthalmology | 8133 E Market St, Warren, OH 44484-2256 | 2007-12-04 |
| 1942499512 | Warren Eye Clinic Inc | Ophthalmology | 302 Niles Cortland Rd Ne, Warren, OH 44484-1940 | 2007-10-19 |
| 1952529588 | Ogawa Macomb Eye Center, P.C. | Ophthalmology | 11900 12 Mile Road, Suite 206, Warren, MI 48093 | 2007-04-20 |
| 1245315068 | Eye Care Associates, Inc. | Ophthalmology | 4060 N. River Road, Warren, OH 44484-2426 | 2006-10-27 |
| 1497769624 | Piero Anthony Simone | Ophthalmology | 29245 Ryan Rd, #100, Warren, MI 48092 | 2006-07-27 |
| 1932129350 | Dominick Zangari Jr. | Ophthalmology | 386 Market St, Warren, RI 02885-1627 | 2006-07-20 |
| Find all providers in WARREN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.