Corbin Leigh Wellford, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5295 Issued in MT

Practice address

346 Central Ave Ste B
Whitefish, MT 59937-2664

Phone

(406) 862-2020

NPI assigned

Jun 15, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, MT2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

New England College of Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellford Eye Center PLLCGroup PAC ID 0547768202, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wellford Eye Center PLLC

  dba Eyes on Main

  • Optometrist
  • Bozeman, MT
  • NPI 1275426025
  Medicare reassignment Care Compare group NPD Authorized official
• Denise Q. Shepard, O.D.

  • Optometrist
  • Fort Oglethorpe, GA
  • NPI 1184650988
  Medicare reassignment
• Eyes on Main Incorporated

  dba EYES ON MAiN

  • Optometrist
  • Bozeman, MT
  • NPI 1316121627
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1053936195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 ARBOUR DR",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012163",
            "telephone_number": "262-844-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 CENTRAL AVE STE B",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372664",
            "telephone_number": "406-862-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1895 Battlefield Pkwy",
            "address_purpose": "LOCATION",
            "city": "Fort Oglethorpe",
            "state": "GA",
            "postal_code": "307424021",
            "country_code": "US",
            "telephone_number": "706-861-7166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLFORD",
        "first_name": "CORBIN",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-15",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "003241",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "5295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie E Wakeman, PA-C
• Walgreen Co (Walgreens #12347)
• Christopher M Wambeke, D.C.
• Helen Weems, ARNP
• Kimberly Weichers, DPT
• Wellness Coordination Services
• Cristy Wells
• Elizabeth White, MD
• Whitefish Acupuncture & Chiropractic, Inc.
• Whitefish Care Holdings, LLC

• Optometrist in Whitefish, MT
• Providers in Whitefish, MT by specialty
• Optometrist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.