Provider Demographics
NPI:1497758635
Name:WAYS, JOEL PHILIP (OD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:PHILIP
Last Name:WAYS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:PA
Mailing Address - Zip Code:16146-1704
Mailing Address - Country:US
Mailing Address - Phone:724-347-5101
Mailing Address - Fax:724-347-2149
Practice Address - Street 1:89 E STATE ST
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:PA
Practice Address - Zip Code:16146-1704
Practice Address - Country:US
Practice Address - Phone:724-347-5101
Practice Address - Fax:724-347-2149
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-23
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001076152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA049285Medicare PIN
PAT-27598Medicare UPIN
PA0575360001Medicare NSC
PA0575360001Medicare NSC