Cody Joe Wilkinson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6473TG Issued in TX

Practice address

1406 Hailey St
Sweetwater, TX 79556-2508

Phone

(325) 235-2624

Fax

(325) 235-8326

NPI assigned

Nov 16, 2005

Last updated

Jun 3, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wilkinson and Shaffer PC

  dba Total Family Eyecare

  • Optometrist
  • Sweetwater, TX
  • NPI 1720268287
  Medicare reassignment NPD Authorized official
• Eye Medicial Associates of Abilene

  dba Abilene Eye Institute

  • Ophthalmology Physician
  • Abilene, TX
  • NPI 1043325996
  NPD (past)

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1326020322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 HAILEY ST",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795562508",
            "telephone_number": "325-235-2624",
            "fax_number": "325-235-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 HAILEY ST",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795562508",
            "telephone_number": "325-235-2624",
            "fax_number": "325-235-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "CODY",
        "middle_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6473TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "81335Q",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE",
            "identifier": "144963100",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• West Wharton County Hospital District (Sterling Hills Rehabilitation and Healthcare Center)
• Westbrook Isd
• Gayla Ann Whitfill, SLP
• Misty Dawn Whoolery-Pratt, RN, IBCLC
• Wilkinson and Shaffer PC (Total Family Eyecare)
• Carmen Acevedo Wilson, SLP
• Midon May Wingo, LM, CPM
• Emily Wolford
• Teresa Gail Wood, LVN
• Maleika Wren, SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.