Active NPI
Anthony a Wecker OD PLLC
- Optometrist
- Big Rapids, MI
National Provider Identifier
1265688014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901003783
- Legal business name
- ANTHONY A WECKER OD PLLC
- Practice address
- 21400 Perry Ave
Big Rapids, MI 49307-9262 - Phone
- (231) 796-5643
- Fax
- (231) 796-5744
- NPI assigned
- Aug 12, 2008
- Last updated
- Aug 12, 2008
- 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
- Dr. Anthony Alan Wecker, O.D.
- Title
- Optometrist
- Phone
- (231) 796-5643
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901003783 | MI | Primary |
Addresses
Primary practice location
21400 Perry Ave
Big Rapids, MI 49307-9262
Mailing address
21400 Perry Ave
Big Rapids, MI 49307-9262
Phone (231) 796-5643
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, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Big Rapids, MI
- NPI 1225148026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218499200000",
"number": "1265688014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21400 PERRY AVE",
"city": "BIG RAPIDS",
"state": "MI",
"postal_code": "493079262",
"telephone_number": "231-796-5643",
"fax_number": "231-796-5744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21400 PERRY AVE",
"city": "BIG RAPIDS",
"state": "MI",
"postal_code": "493079262",
"telephone_number": "231-796-5643",
"fax_number": "231-796-5744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANTHONY A WECKER OD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-12",
"last_updated": "2008-08-12",
"status": "A",
"authorized_official_last_name": "WECKER",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "231-796-5643",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MI",
"license": "4901003783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Big Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.