Eileen Marie Wayne, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036051328 Issued in IL

Practice address

840 35TH Avenue PL
Suite 101
Moline, IL 61265-8026

Phone

(309) 736-0808

NPI assigned

Oct 24, 2005

Last updated

Jun 21, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Loyola University of Chicago, Stritch School of Medicine, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ewayne92558@direct.unitypoint.org

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

• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Dietz Chiropractic LLC

  • Chiropractor
  • Silvis, IL
  • NPI 1013243757
  NPD (past)
• McCollum Psychology, PC

  • Psychologist
  • Moline, IL
  • NPI 1275616484
  NPD (past)

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277078400000",
    "number": "1194715953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 35TH AVENUE PL",
            "address_2": "SUITE 101",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612658026",
            "telephone_number": "309-736-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 35TH AVENUE PL",
            "address_2": "SUITE 101",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612658026",
            "telephone_number": "309-736-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYNE",
        "first_name": "EILEEN",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2010-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036051328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036051328",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8100324",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kareem Washington
• Jessica Lynn Wasson, ARNP-CNP
• Heidi J Watkins, RN
• Jean Ann Watts, MOTR/L
• Wayne Davis Chiropractic Inc
• Kristin Kincaide Weaver, DPT
• Cantrese Marchay Webb-Barradas-Atta, DC
• Julie A Weger, PHD
• Rudolph Michael Weger, PHD
• David P Wehr, D.C.

• Ophthalmology Physician in Moline, IL
• Providers in Moline, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.