Active NPI
Wesley Jay Sands, OD
- Optometrist
- Lawrenceburg, TN
National Provider Identifier
1043531064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2840
- Practice address
- 234 S Locust Ave
Lawrenceburg, TN 38464-3707 - Phone
- (931) 762-1364
- Fax
- (931) 722-5612
- NPI assigned
- Jun 14, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2840 | TN | Primary |
Addresses
Primary practice location
234 S Locust Ave
Lawrenceburg, TN 38464-3707
Mailing address
234 S Locust Ave
Lawrenceburg, TN 38464-3707
Phone (931) 762-1364
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | gingerjm@bellsouth.net | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
234 S Locust Ave
Lawrenceburg, TN 38464-3707
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 44 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2840 | TN | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1043531064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 S LOCUST AVE",
"city": "LAWRENCEBURG",
"state": "TN",
"postal_code": "384643707",
"telephone_number": "931-762-1364",
"fax_number": "931-722-5612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 S LOCUST AVE",
"city": "LAWRENCEBURG",
"state": "TN",
"postal_code": "384643707",
"telephone_number": "931-762-1364",
"fax_number": "931-722-5612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDS",
"first_name": "WESLEY",
"middle_name": "JAY",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-14",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "2840",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "gingerjm@bellsouth.net",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Lawrenceburg",
"address_1": "234 S Locust Ave",
"city": "Lawrenceburg",
"state": "TN",
"country_code": "US",
"postal_code": "384643707",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lawrenceburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.