Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mary Ellen Judge, O.D.
Optometrist in Wilkes Barre, PA · enumerated 2005.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1124012471
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Registry record
Entity type Individual (Type 1)
Name Mary Ellen Judge
Credential O.D.
Sex Female
Practice address 679 Kidder St, Wilkes Barre, PA, 18702
Phone (570) 825-3491
Enumeration date Sep 1, 2005
Last updated in NPPES Dec 1, 2022
Taxonomy & licenses
OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses.
About the OD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0070462900002 | Medicaid | PA | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Where does Mary Ellen Judge practice?
The practice location on file with NPPES is in Wilkes Barre, PA. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Mary Ellen Judge?
The National Provider Identifier (NPI) for Mary Ellen Judge is 1124012471, a Type 1 (individual) record in the CMS NPPES registry.
Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-12-01.