Healthcare Provider Details

I. General information

NPI: 1134179898
Provider Name (Legal Business Name): WERTSCH VISION ASSOC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 12/06/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 E MAIN ST
LITITZ PA
17543-1941
US

IV. Provider business mailing address

65 E MAIN ST
LITITZ PA
17543-1941
US

V. Phone/Fax

Practice location:
  • Phone: 717-626-8100
  • Fax: 717-626-0389
Mailing address:
  • Phone: 717-626-8100
  • Fax: 717-626-0389

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. STEPHEN P MEIER
Title or Position: PARTNER
Credential: OD
Phone: 717-626-8100