Christopher James Wetzler, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

46-009360 Issued in IL

Practice address

4203 N Sheridan Rd
Suite A1-4
Peoria, IL 61614-7170

Phone

(309) 686-0763

Fax

(309) 685-8809

NPI assigned

Sep 16, 2005

Last updated

Dec 2, 2016By 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

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dennis M Brtva

  dba Dr Dennis M Brtva & Associates

  • Optometrist
  • Peoria, IL
  • NPI 1336112804
  NPD (past)

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1346235124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 N SHERIDAN RD",
            "address_2": "SUITE A1-4",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616147170",
            "telephone_number": "309-686-0763",
            "fax_number": "309-685-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 N SHERIDAN RD",
            "address_2": "SUITE A1-4",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616147170",
            "telephone_number": "309-686-0763",
            "fax_number": "309-685-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETZLER",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "46-009360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Alan Westefer, M.D.
• John Westerberg, LPC
• Joshua Westercamp
• Demetris Westerfield
• Amanda Brooke Wetzel, LPC
• David Wexler, DDS
• Michelle M Weyant, P.T.
• Lisa Marie Weybright, APN
• Daniel Weyers
• Erin L Whalen, APN

• Optometrist in Peoria, IL
• Providers in Peoria, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.