Anthony a Wecker OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003783 Issued in MI

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

Organization subpart

No

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

Specialties & licenses 1

Addresses

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": []
}

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• All providers in Big Rapids, MI
• Optometrist in Michigan

• 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.

Verify at the official NPI Registry.