Individual provider Active NPI

Wendy Lee Thurman, OD

  • Optometrist
  • New Carlisle, OH
National Provider Identifier
1346802105
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.006762 Issued in OH
Practice address
10551 W National Rd
New Carlisle, OH 45344-9299
Phone
(937) 845-9444
NPI assigned
Jul 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 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 OPT.006762 OH Primary

Addresses

Primary practice location

10551 W National Rd
New Carlisle, OH 45344-9299

Mailing address

10551 W National Rd
New Carlisle, OH 45344-9299
Phone (378) 459-4449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20220321002312 OH Practitioner - Optometry 1254726698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Dr. Johnathan Beauchamp and Associates, LLCGroup PAC ID 2466706239, 4 clinicians

Practice addresses (Care Compare)

315 E Columbus Ave
Bellefontaine, OH 43311-2001
Phone (937) 592-9777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.006762OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Johnathan Beauchamp and Associates, LLC Optometrist CurrentSince Feb 7, 2025 Accepting new patients

Locations

315 E Columbus Ave
Bellefontaine, OH 43311
Phone (937) 592-9777

228 Barks Rd E
Marion, OH 43302
Phone (740) 389-2306

Organizations & group practices 1

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": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1346802105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10551 W NATIONAL RD",
            "city": "NEW CARLISLE",
            "state": "OH",
            "postal_code": "453449299",
            "telephone_number": "378-459-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10551 W NATIONAL RD",
            "city": "NEW CARLISLE",
            "state": "OH",
            "postal_code": "453449299",
            "telephone_number": "937-845-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURMAN",
        "first_name": "WENDY",
        "middle_name": "LEE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Carlisle, OH

Sources for this page

Verify at the official NPI Registry.