Individual provider Active NPI

Herbert Tanner Wentzien, OD

  • Optometrist
  • Anchorage, AK
National Provider Identifier
1316431257
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
133420 Issued in AK
Practice address
341 W Tudor Rd Ste 101
Anchorage, AK 99503-6639
Phone
(907) 770-6652
NPI assigned
Jun 14, 2018
Last updated
Jun 14, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 133420 AK Primary

Addresses

Primary practice location

341 W Tudor Rd Ste 101
Anchorage, AK 99503-6639

Mailing address

397 Lake View Dr NE
Solon, IA 52333-9067
Phone (319) 325-7576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20180717003720 AK Practitioner - Optometry 2264789536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Makar Eyecare LLCGroup PAC ID 6103056023, 11 clinicians

Practice addresses (Care Compare)

341 W Tudor Rd
Suite 101
Anchorage, AK 99503-6639
Phone (907) 770-6652

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
133420AKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Makar Eyecare LLC Optometrist CurrentSince Jun 21, 2018 Accepting new patients
Makar Eyecare Optometrist Past Accepting new patients

Locations

341 W Tudor Rd
Ste 101
Anchorage, AK 99503
Phone (907) 563-1777

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1316431257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 LAKE VIEW DR NE",
            "city": "SOLON",
            "state": "IA",
            "postal_code": "523339067",
            "telephone_number": "319-325-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 W TUDOR RD STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036639",
            "telephone_number": "907-770-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENTZIEN",
        "first_name": "HERBERT",
        "middle_name": "TANNER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "133420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.