DR. WAYNE A. MUNDIS (NPI# 1386825644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386825644 |
| Entity Type | Organization |
| Organization Name | DR. WAYNE A. MUNDIS |
| Practice Address |
46 Water St Glen Rock PA 17327-1011 |
| Practice Telephone | 7172351346 |
| Practice Fax Number | 7172354843 |
| Mailing Telephone | 7172351346 |
| Mailing Fax Number | 7172354843 |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2007-11-15 |
| Authorized Official Name | DR. WAYNE ALAN MUNDIS (OWNER) |
| Authorized Official Telephone | 7172351346 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 5274-P | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | DMERC REGION A | 0516520001 | 01 |
| Street Address |
46 WATER ST |
| City | GLEN ROCK |
| State | PA |
| Zip Code | 17327-1011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033199583 | Wayne Mundis | Optometrist | 46 Water St, Glen Rock, PA 17327-1011 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306192208 | Zoe Windham Hunter Travers | Counselor | 12869 Rennoll Rd, Glen Rock, PA 17327 | 2012-07-28 |
| 1679612659 | David Robert Wells | Chiropractor | 40 Water St, Glen Rock, PA 17327-1011 | 2007-02-06 |
| 1891810040 | Southern York County Chiropractic | Chiropractor | 40 Water St, Glen Rock, PA 17327-1011 | 2007-03-20 |
| 1972509891 | Glen Rock Emergency Medical Services Inc | Ambulance | 59 Water St, Glen Rock, PA 17327-1015 | 2005-06-24 |
| 1528061504 | Donald Michael Thompson | Dentist | 148 Manchester St, Glen Rock, PA 17327-1345 | 2005-05-24 |
| 1730746090 | Jonelle Lynn Lund | Registered Nurse | 4145 Bosley School Rd, Glen Rock, PA 17327-7713 | 2019-05-22 |
| 1598233348 | Tucker Daniel Devilbiss | Specialist/Technologist | 4449 Sunny Slope Rd, Glen Rock, PA 17327-7843 | 2018-11-09 |
| 1366847345 | Amanda Colvin | Counselor | 878 W Forrest Ave, Glen Rock, PA 17327-7913 | 2014-11-03 |
| 1265644660 | Deborah Kauffmann | Dietitian, Registered | 3373 Foxtail Ln, Glen Rock, PA 17327-8163 | 2007-05-06 |
| 1992988174 | Barclay Family Chiropractic | Chiropractor | 10850 Susquehanna Trl S, Glen Rock, PA 17327-8217 | 2007-12-11 |
| Find all providers in zip 17327 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225636053 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 540 Gateway Ave, Chambersburg, PA 17201-8107 | 2020-10-14 |
| 1568060416 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 200 C Mill Rd, Oaks, PA 19456 | 2020-10-13 |
| 1265030233 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 159 Pocono Cmns, Stroudsburg, PA 18360-8703 | 2020-10-13 |
| 1225636293 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 616 N West End Blvd, Quakertown, PA 18951-4100 | 2020-10-13 |
| 1518564350 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2300a Rear W Oregon Ave, Philadelphia, PA 19145 | 2020-10-05 |
| 1376140582 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 200 Easton Rd, Warrington, PA 18976-2514 | 2020-10-01 |
| 1689281735 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 300 Alan Wood Rd, Conshohocken, PA 19428-1139 | 2020-09-23 |
| 1770199887 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2250 York Crossing Dr, York, PA 17408-4700 | 2020-09-23 |
| 1639785967 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 550 Madison Ave, Reading, PA 19605-2412 | 2020-09-22 |
| 1205442696 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2044 Red Lion Road, Philadelphia, PA 19115 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
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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.