Individual provider Active NPI

Ashley Marie Wesley, OD

  • Optometrist
  • Buchanan, MI
National Provider Identifier
1265006522
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005550 Issued in MI
Practice address
400 E Front St Ste a
Buchanan, MI 49107-1403
Phone
(269) 695-3434
NPI assigned
May 19, 2021
Last updated
Jan 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005550 MI Primary

Addresses

Primary practice location

400 E Front St Ste a
Buchanan, MI 49107-1403

Mailing address

1381 W Glenlord Rd
Saint Joseph, MI 49085-9575
Phone (248) 892-0051

Other practice location 1

105 Pennsylvania Ave
Dowagiac, MI 49047-1748
Phone (269) 782-7141

Other practice location 2

18301 US Highway 12
New Buffalo, MI 49117-8848
Phone (269) 469-6331

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL buchananoffice@smokevisioncare.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20210616001746 MI Practitioner - Optometry 1557761368 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakland Eye Care, P.C.Group PAC ID 5496859712, 5 clinicians

Practice addresses (Care Compare)

5825 S Main St
Suite 100
Clarkston, MI 48346-2983
Phone (248) 620-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oakland Eye Care, P.C. CurrentSince Oct 28, 2024 Accepting new patients
Dr. Bradley P. Mundy, O.D., PLLC Optometrist CurrentSince Jun 15, 2021 Accepting new patients
Oakland Eye Care, P.C. CurrentSince Oct 28, 2024 Accepting new patients
DRS Steven and Brenda Smoke OD PC Optometrist Past Accepting new patients

Locations

400 E Front St
Ste A
Buchanan, MI 49107
Phone (269) 695-3434

5701 Bow Pointe Dr
Ste 135
Clarkston, MI 48346
Phone (248) 922-0400

5825 S Main St
Ste 100
Clarkston, MI 48346
Phone (248) 620-3000

105 Pennsylvania Ave
Dowagiac, MI 49047
Phone (269) 782-7141

18301 US Highway 12
New Buffalo, MI 49117
Phone (269) 469-6331

Organizations & group practices 4

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": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1265006522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 W GLENLORD RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859575",
            "telephone_number": "248-892-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E FRONT ST STE A",
            "city": "BUCHANAN",
            "state": "MI",
            "postal_code": "491071403",
            "telephone_number": "269-695-3434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Dowagiac",
            "state": "MI",
            "postal_code": "490471748",
            "country_code": "US",
            "telephone_number": "269-782-7141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18301 US Highway 12",
            "address_purpose": "LOCATION",
            "city": "New Buffalo",
            "state": "MI",
            "postal_code": "491178848",
            "country_code": "US",
            "telephone_number": "269-469-6331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESLEY",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "buchananoffice@smokevisioncare.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "office email",
            "address_1": "400 E Front St Ste A",
            "city": "Buchanan",
            "state": "MI",
            "country_code": "US",
            "postal_code": "491071403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Buchanan, MI

Sources for this page

Verify at the official NPI Registry.