Wilken Eye Associates, P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

WILKEN EYE ASSOCIATES, P.A.

Practice address

651 N Denton Tap Rd
Suite 150
Coppell, TX 75019-2007

Phone

(972) 410-1313

Fax

(972) 899-0662

NPI assigned

Jun 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bret E Wilken, O.D.NPI 1699888909

Title

Vice President

Phone

(972) 410-1313

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wilken Family Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Bret Edward Wilken, O.D.

  • Optometrist
  • Coppell, TX
  • NPI 1699888909
  Medicare reassignment Care Compare group Authorized official
• Stephanie Wilken, OD

  • Optometrist
  • Coppell, TX
  • NPI 1265444111
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1316140387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 N DENTON TAP RD",
            "address_2": "SUITE 150",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192007",
            "telephone_number": "972-410-1313",
            "fax_number": "972-899-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 N DENTON TAP RD",
            "address_2": "SUITE 150",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192007",
            "telephone_number": "972-410-1313",
            "fax_number": "972-899-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKEN EYE ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "WILKEN",
        "authorized_official_first_name": "BRET",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "972-410-1313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "008OFF",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilken Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ardis White
• Courtney White, IBCLC, CLE, CIMI
• Lauren White
• Lindsay Strong Wilcox, DPT
• Taylor Wilhelm
• Bret Edward Wilken, O.D.
• Stephanie Wilken, OD
• Hallie Williams, MPAS, PA-C
• Margo Jean Williams, CO, LO, CLT-LANA
• Heather Marie Wilson

• Optometrist in Coppell, TX
• Providers in Coppell, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.