Individual provider Active NPI

David M Wells, OD

  • Optometrist
  • Aberdeen, NC
National Provider Identifier
1336134436
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0993 Issued in NC
Practice address
11088 N US Highway 15 501
Aberdeen, NC 28315-2385
Phone
(910) 693-1226
Fax
(910) 692-8983
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0993 NC Primary

Addresses

Primary practice location

11088 N US Highway 15 501
Aberdeen, NC 28315-2385

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Other identifiers 3

IdentifierTypeStateIssuer
8909964MedicaidNC
09964OtherNCBLUE CROSS
P00630210OtherNCRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20050328000106 NC Practitioner - Optometry 8123074705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11088 US Hwy 15 501 925
Aberdeen, NC 28315-2378
Phone (910) 693-1226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
993NCMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Dec 1, 2014 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Dec 1, 2014 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Past Accepting new patients
Myeyedr Optometry of North Carolina Optometrist Past Accepting new patients

Locations

11088 US 15 501 Hwy
Unit 925
Aberdeen, NC 28315
Phone (910) 693-1226

1975 High House Rd
Cary, NC 27519
Phone (919) 461-0771

114 S Tryon St
Charlotte, NC 28202
Phone (704) 377-5936

1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332

5330 South Blvd
#B
Charlotte, NC 28217
Phone (704) 523-7877

6859 South Blvd
Ste A
Charlotte, NC 28217
Phone (704) 525-9802

15235 John J Delaney Dr
Ste H
Charlotte, NC 28277
Phone (704) 752-1744

6300 E Independence Blvd
Ste A
Charlotte, NC 28212
Phone (704) 535-0925

7808 S Tryon St
Ste D
Charlotte, NC 28273
Phone (704) 522-8000

1823 E Arbors Dr
Ste 325
Charlotte, NC 28262
Phone (704) 971-5000

584 Church St N
Concord, NC 28025
Phone (704) 782-0677

19900 W Catawba Ave
Cornelius, NC 28031
Phone (704) 892-1000

7075 White Oak Rd
Garner, NC 27529
Phone (919) 282-0053

1003 Vandora Springs Rd
Garner, NC 27529
Phone (919) 772-4575

9918 Knockando Ln
Ste 140
Huntersville, NC 28078
Phone (704) 237-3910

7020 Six Forks Rd
Raleigh, NC 27615
Phone (919) 847-5957

1729 Davie Ave
Statesville, NC 28677
Phone (704) 873-0524

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 5

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": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1336134436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11088 N US HIGHWAY 15 501",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283152385",
            "telephone_number": "910-693-1226",
            "fax_number": "910-692-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "0993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909964",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "09964",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00630210",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, NC

Sources for this page

Verify at the official NPI Registry.