Individual provider Active NPI

Julieann Carol Wick, OD

  • Optometrist
  • Williston, ND
National Provider Identifier
1235156753
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
728 Issued in ND
Practice address
1321 W Dakota Pkwy
Williston, ND 58801-3807
Phone
(701) 572-7641
Fax
(701) 572-7710
NPI assigned
Jul 17, 2006
Last updated
Feb 25, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 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 728 ND Primary

Addresses

Primary practice location

1321 W Dakota Pkwy
Williston, ND 58801-3807

Mailing address

PO Box 5010
Minot, ND 58702-5010
Phone (701) 857-5650

Other identifiers 1

IdentifierTypeStateIssuer
60757MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20141218000038 ND Practitioner - Optometry 3173551389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Williston Basin Eyecare Associates PCGroup PAC ID 4183892995, 7 clinicians

Practice addresses (Care Compare)

1500 14TH St W
Suite 100
Williston, ND 58801-4077
Phone (701) 577-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
728NDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Williston Basin Eyecare Associates, P.C. Optometrist CurrentSince Jun 1, 2021 Accepting new patients
Brook McFarlin Chiropractic LLC CurrentSince Jun 1, 2021 Accepting new patients
Eye Love Care Inc Optometrist Past Accepting new patients
McGreevy Inc PastSince Jun 9, 2015 Accepting new patients
Eye Love Care Inc Optometrist Past Accepting new patients

Locations

1500 14th St W
Ste 100
Williston, ND 58801
Phone (701) 577-3937

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1235156753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5010",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587025010",
            "telephone_number": "701-857-5650",
            "fax_number": "701-857-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 W DAKOTA PKWY",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588013807",
            "telephone_number": "701-572-7641",
            "fax_number": "701-572-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICK",
        "first_name": "JULIEANN",
        "middle_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60757",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, ND

Sources for this page

Verify at the official NPI Registry.