Individual provider Active NPI

David T Wesley, O.D.

  • Optometrist
  • Jasper, AL
National Provider Identifier
1104853944
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S762TA265 Issued in AL
Practice address
302 Oakhill Rd
Jasper, AL 35504-7465
Phone
(205) 221-7779
Fax
(205) 221-8742
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S762TA265 AL Primary

Addresses

Primary practice location

302 Oakhill Rd
Jasper, AL 35504-7465

Mailing address

205 Oakhill Rd
Jasper, AL 35504-7415
Phone (205) 221-7779

Other identifiers 1

IdentifierTypeStateIssuer
009951625MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041005000831 AL Practitioner - Optometry 0840269635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wesley Optometry PCGroup PAC ID 3678542453, 2 clinicians

Practice addresses (Care Compare)

302 Oak Hill Rd
Jasper, AL 35504-7465

302 Oakhill Rd
Jasper, AL 35504-7465
Phone (205) 221-7779

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wesley Optometry PC Optometrist CurrentSince Jul 1, 1994 Accepting new patients

Locations

302 Oakhill Rd
Jasper, AL 35504
Phone (205) 221-7779

1801 Highway 78 E
Jasper, AL 35501
Phone (205) 221-5110

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1104853944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 OAKHILL RD",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355047415",
            "telephone_number": "205-221-7779",
            "fax_number": "205-221-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 OAKHILL RD",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355047465",
            "telephone_number": "205-221-7779",
            "fax_number": "205-221-8742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESLEY",
        "first_name": "DAVID",
        "middle_name": "T",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S762TA265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009951625",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

Verify at the official NPI Registry.