Michael David Wesson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002219 Issued in GA

Practice address

5001 Taylor Road
Punta Gorda, FL 33950-4722

Phone

(941) 575-0903

Fax

(941) 575-0905

NPI assigned

Mar 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL, GA2 enrollments

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 2

Specialty

Optometry

Education

Southern College of Optometry, 1966

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Georgia, LLCGroup PAC ID 8224261201, 100 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mwesson025978@myeyedr.emadirect.md

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.

• Myeyedr Optometry of Georgia, LLC

  dba MyEyeDr.

  • Optometrist
  • Rincon, GA
  • NPI 1437294592
  Medicare reassignment Care Compare group NPD
• Middle Georgia Optometry

  • Optometrist
  • Eatonton, GA
  • NPI 1376135715
  Medicare reassignment Authorized official
• Chance Talley Enterprises LLC.

  • Clinic/Center
  • Milledgeville, GA
  • NPI 1265097240
  Medicare reassignment NPD
• Myeyedr Optometry of Georgia LLC

  dba MyEyeDr

  • Optometrist
  • Milledgeville, GA
  • NPI 1407261076
  NPD
• Myeyedr Optometry of Georgia, LLC

  dba MyEyeDr.

  • Optometrist
  • Tyrone, GA
  • NPI 1275326571
  NPD
• Eye Centers of Florida

  • Ophthalmology Physician
  • Fort Myers, FL
  • NPI 1831286202

  Optometrist

  NPD (past)
• Eye Centers of Florida

  • Optometrist
  • Lehigh Acres, FL
  • NPI 1942362140
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1285695916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 TAYLOR ROAD",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339504722",
            "telephone_number": "941-575-0903",
            "fax_number": "941-575-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 TAYLOR ROAD",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339504722",
            "telephone_number": "941-575-0903",
            "fax_number": "941-575-0905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2485 N Columbia St Ste 118",
            "address_purpose": "LOCATION",
            "city": "Milledgeville",
            "state": "GA",
            "postal_code": "310615431",
            "country_code": "US",
            "telephone_number": "478-452-6569",
            "fax_number": "478-452-6589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESSON",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "R117-TA-093",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC0843",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - TYPE UNSPECIFIED",
            "identifier": "20767A",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084066100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "20767",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• We Care in-Home Services, Inc.
• Kristi Weadock, LMSW, LCSW
• Elizabeth L Weber, ARNP
• Gabriel Alberto Weber, PT
• Sue Wesolowski
• Karin Whitbeck, L.M.T
• Corey A. Whitney, DC
• Kimberly Wilcox
• Simone Williamd
• Andre M Williams, DPM

• Optometrist in Punta Gorda, FL
• Providers in Punta Gorda, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.