Individual provider Active NPI

Wayne Steven Huebener, O.D.

  • Optometrist
  • Coralville, IA
National Provider Identifier
1295841302
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
01895 Issued in IA
Practice address
Vision 4 Less
1810 N. Coral Street
Coralville, IA 52241
Phone
(319) 246-5623
Fax
(319) 351-2182
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 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 01895 IA Primary

Addresses

Primary practice location

Vision 4 Less
1810 N. Coral Street
Coralville, IA 52241

Mailing address

Vision 4 Less
1810 N. Coral Street
Coralville, IA 52241
Phone (319) 246-5623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20101213001049 IA Practitioner - Optometry 5799972006 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01895IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Peterson Eyecare PC CurrentSince Oct 8, 2018 Accepting new patients

Locations

2805 Blairs Ferry Rd NE
Cedar Rapids, IA 52402
Phone (319) 832-2000

1810 N Coral St
Coralville, IA 52241
Phone (319) 246-5631

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1295841302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VISION 4 LESS",
            "address_2": "1810 N. CORAL STREET",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "52241",
            "telephone_number": "319-246-5623",
            "fax_number": "319-351-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VISION 4 LESS",
            "address_2": "1810 N. CORAL STREET",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "52241",
            "telephone_number": "319-246-5623",
            "fax_number": "319-351-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUEBENER",
        "first_name": "WAYNE",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "01895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

Verify at the official NPI Registry.