Wildwood Vision Specialists LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2011018560 Issued in MO

Legal business name

WILDWOOD VISION SPECIALISTS LLC

Practice address

2751 Fountain PL
Suite 2
Wildwood, MO 63040-1202

Phone

(314) 583-1548

Fax

(636) 273-3918

NPI assigned

Sep 23, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Christine Marie Hayes, O.D.NPI 1982991386

Title

Managing Optometrist

Phone

(314) 583-1548

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christine Marie Hayes, O.D.

  • Optometrist
  • Wildwood, MO
  • NPI 1982991386
  Medicare reassignment Care Compare group NPD Authorized official
• Kimberly E Brown, O.D.

  • Optometrist
  • Wildwood, MO
  • NPI 1417235417
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372032000000",
    "number": "1174806301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 FOUNTAIN PL",
            "address_2": "SUITE 2",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630401202",
            "telephone_number": "314-583-1548",
            "fax_number": "636-273-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 FOUNTAIN PL",
            "address_2": "SUITE 2",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630401202",
            "telephone_number": "314-583-1548",
            "fax_number": "636-273-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDWOOD VISION SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-23",
        "last_updated": "2013-06-24",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGING OPTOMETRIST",
        "authorized_official_telephone_number": "314-583-1548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2011018556",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2011018560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whispering Oaks Health Care, Inc.
• Whispering Oaks RCF Management Co, Inc. (Whispering Oaks)
• John Wiedner, M.D.
• Wildwood Health & Wellness Center, P.C.
• Wildwood Internal Medicine, PC
• Karen Will, LPC
• Diane Ruth Williams, RPH
• Katherine P Williams, MSW, LCSW
• Devin R Willis, MD
• Kelly Lynn Wittenauer, M.S. SLP

• Optometrist in Wildwood, MO
• Providers in Wildwood, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.