NPIMap

Organization Active NPI

Wesley Optometry PC

Doing business as Wesley Eye Center

  • Optometrist
  • Jasper, AL
National Provider Identifier
1306037882
Registry record updated Sep 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S785TA265 Issued in AL
Legal business name
WESLEY OPTOMETRY PC
Doing business as
Wesley Eye Center
Practice address
302 Oakhill Rd
205 Oakhill Rd
Jasper, AL 35504-7465
Phone
(205) 221-7779
Fax
(205) 221-8749
NPI assigned
Aug 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2014

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

Authorized official

Name
Dr. David T Wesley, O.D.NPI 1104853944
Title
President
Phone
(205) 221-7779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X S785TA265 AL Primary

Addresses

Primary practice location

302 Oakhill Rd
205 Oakhill Rd
Jasper, AL 35504-7465

Mailing address

302 Oakhill Rd
205 Oakhill Rd
Jasper, AL 35504-7465
Phone (205) 221-7779

Other names 1

  • Wesley Eye Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040928001277 AL Part B Supplier - Clinic/Group Practice 3678542453 Receives reassigned benefits from 3 practitioners
Practice locations: Jasper, AL

National Provider Directory

National Provider Directory

Locations

205 Oakhill Rd
Ste A
Jasper, AL 35504
Phone (205) 221-7779

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410480000000",
    "number": "1306037882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 OAKHILL RD",
            "address_2": "205 OAKHILL RD",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355047465",
            "telephone_number": "205-221-7779",
            "fax_number": "205-221-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 OAKHILL RD",
            "address_2": "205 OAKHILL RD",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355047465",
            "telephone_number": "205-221-7779",
            "fax_number": "205-221-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY OPTOMETRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2014-09-12",
        "status": "A",
        "authorized_official_last_name": "WESLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-221-7779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S785TA265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wesley Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.