Justin C Wehr OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

T1957 Issued in OH

Legal business name

JUSTIN C WEHR OD INC

Doing business as

The Eye Site

Practice address

1225 Southgate Pkwy
Cambridge, OH 43725-2944

Phone

(740) 432-3384

Fax

(740) 439-0101

NPI assigned

Dec 21, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Justin C Wehr, ODNPI 1891975975

Title

Co Owner

Phone

(740) 432-3384

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• The Eye Site Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin C Wehr, OD

  • Optometrist
  • Cambridge, OH
  • NPI 1891975975
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1275519258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 SOUTHGATE PKWY",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437252944",
            "telephone_number": "740-432-3384",
            "fax_number": "740-439-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 SOUTHGATE PKWY",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437252944",
            "telephone_number": "740-432-3384",
            "fax_number": "740-439-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN C WEHR OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "WEHR",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "740-432-3384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "T1957",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "OH",
            "license": "S.6562",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2188074",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eye Site",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Susan Johnson, LICDCCS
• Laura D Johnston, LISW
• Beryl Kenneth Jones II, D.D.S.
• Cori J Jones
• Tiffanie Jones
• Shellie Karille, CDCA
• Brent A Kasper
• Dionna Kay
• Jordan Kazmirski
• Lori Lin Kelly, CNP

• Optometrist in Cambridge, OH
• Providers in Cambridge, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.

Verify at the official NPI Registry.