Dr. Gordon Edgar Wuebbolt is a Warren, Pennsylvania based male eyecare provider with 37 years of experience as Ophthalmic Technician. He completed his graduation from Other in 1987 He has professional credentials of M.D... He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Gordon Edgar Wuebbolt is MD052930L Dr. Gordon Edgar Wuebbolt provide assistance to ophthalmologists performing eye care. Main duties include conducting diagnostic tests, sending and retrieving lab work, helping during eye exams and aiding during surgery. They also provide patients with instructions in the proper use of corrective lenses. Ophthalmic Technician are also known as Ophthalmology technician.
Complete Profile:
Dr. Gordon Edgar Wuebbolt speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7517868458
Enrollment ID:
I20070921000028
NPI Number:
1548234255
NPI Enumeration Date:
17 Feb, 2006
NPI Last Update On:
13 Oct, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Gordon Edgar Wuebbolt are as mentioned below.
License Number
Specialization
State
Status
MD052930L
Pennsylvania
Primary
MD052930L
Ophthalmic Technician
Pennsylvania
Secondary
219642-1
Ophthalmic Technician
New York
Secondary
219642-1
Ophthalmology
New York
Secondary
219642-1
Ophthalmology Ophthalmic Plastic and Reconstructive Surgery
New York
Secondary
MD052930L
Ophthalmology Ophthalmic Plastic and Reconstructive Surgery
Pennsylvania
Secondary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Gordon Edgar Wuebbolt has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Community Eye Care Specialists Pc (8527956788)
6
Community Eye Care Specialists Pc (8527956788)
6
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Gordon Edgar Wuebbolt such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
001464588
Medicaid
Pennsylvania
02155728
Medicaid
New York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2 Farm Colony Drive, Warren, Pennsylvania
Zip:
16365-5206
Phone Number:
814-726-2303
Fax Number:
814-726-7459
Patients can reach Dr. Gordon Edgar Wuebbolt at 2 Farm Colony Drive, Warren, Pennsylvania or can call to book an appointment on 814-726-2303. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.