Active NPI
David T Wesley, O.D.
- Optometrist
- Jasper, AL
National Provider Identifier
1104853944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S762TA265
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009951625 | Medicaid | AL |
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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 160 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wesley Optometry PC | Optometrist | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.