Active NPI
Wedo Eyes LLC
- Optometrist
- Tupelo, MS
National Provider Identifier
1205513660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- WEDO EYES LLC
- Practice address
- 3833 N Gloster St
Tupelo, MS 38804-0914 - Phone
- (662) 269-0856
- Fax
- (662) 269-0856
- NPI assigned
- Jun 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua Hunter Wilson, OD
- Title
- Owner
- Phone
- (662) 832-1609
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
3833 N Gloster St
Tupelo, MS 38804-0914
Mailing address
411 Eric CV
Oxford, MS 38655-5393
Phone (662) 269-0856
Other names 1
- WeDo Eyes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Tupelo, MS
- NPI 1255874368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687910400000",
"number": "1205513660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 ERIC CV",
"city": "OXFORD",
"state": "MS",
"postal_code": "386555393",
"telephone_number": "662-269-0856",
"fax_number": "662-269-0856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3833 N GLOSTER ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388040914",
"telephone_number": "662-269-0856",
"fax_number": "662-269-0856"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEDO EYES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-28",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "JOSHUA",
"authorized_official_middle_name": "HUNTER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "662-832-1609",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "WeDo Eyes",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.