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Contact Information

JUDITH A WENTZEL
120 MAIN STREET
NEW EAGLE, PA15067
 Phone: 724-258-3773
 Fax: 724-258-4805
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
Indicates primary specialty

NPI Profile & details for JUDITH A WENTZEL

NPI Number 1679661771
LBN Legal business name JUDITH A WENTZEL
Authorized official JUDITH ZEWE - (OPTICIAN OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/11/2006
Last updated 06/17/2008 - About 18 years ago
Identifiers
PA Medicaid 01741893
Other 49647 DAVIS VISION
Other 14872 SPECTERA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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