National Provider Identifier Database

JUDITH A WENTZEL
Optician


Contact Information

JUDITH A WENTZEL
120 MAIN STREET
NEW EAGLE, PA15067
Phone: 724-258-3773
Fax: 724-258-4805
Website:
Specialty Taxonomy Code
* Optician 156FX1800X

* Indicates primary specialty

NPI Profile & details for JUDITH A WENTZEL

NPI Number 1679661771
Legal business name
LBN
JUDITH A WENTZEL
Authorized official JUDITH ZEWE - (OPTICIAN OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/11/2006
Last updated 06/17/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • PA Medicaid: 01741893
  • Other: 49647 DAVIS VISION
  • Other: 14872 SPECTERA

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for JUDITH A WENTZEL

There are currently no reviews for JUDITH A WENTZEL


NPIdb - Home
v2.201