Provider Demographics
NPI:1659140408
Name:WERTH EYE GROUP PA
Entity Type:Organization
Organization Name:WERTH EYE GROUP PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BRAIDEN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:WERTH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:785-639-6101
Mailing Address - Street 1:625 E 8TH ST
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-3997
Mailing Address - Country:US
Mailing Address - Phone:785-625-2922
Mailing Address - Fax:785-625-2941
Practice Address - Street 1:625 E 8TH ST
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-3997
Practice Address - Country:US
Practice Address - Phone:785-625-2922
Practice Address - Fax:785-625-2941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-21
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty