Cal Edward Wiese, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

114761 Issued in IA

Practice address

1909 Hamilton Blvd
Sioux City, IA 51104-4148

Phone

(712) 252-4333

NPI assigned

Jun 20, 2022

Last updated

Jun 23, 2022By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

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 2

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sahni OD LLCGroup PAC ID 5890101786, 2 clinicians

Aria Vision Care, LLCGroup PAC ID 9638571524, 8 clinicians

AlphapointeGroup PAC ID 7719929355, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cal.wiese.1@32152.direct.athenahealth.com
• Direct secure messaging: cal.wiese@direct.revolutionehr.com

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.

• Aria Vision Care, LLC

  • Optometrist
  • Overland Park, KS
  • NPI 1992370993

  MO

  Medicare reassignment Care Compare group NPD
• Sahni OD LLC

  dba Kansas City Vision Performance

  • Occupational Therapist
  • Overland Park, KS
  • NPI 1326635160

  Optometrist

  Medicare reassignment Care Compare group NPD
• Alphapointe

  • Optometrist
  • Kansas City, MO
  • NPI 1811995830
  Medicare reassignment Care Compare group
• Vision Care Clinic PC

  • Optometrist
  • Moville, IA
  • NPI 1215210737
  NPD (past)
• Vision Care Clinic PC

  • Optometrist
  • Manning, IA
  • NPI 1437104353
  NPD (past)

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1356072508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N MAIN ST",
            "city": "DENISON",
            "state": "IA",
            "postal_code": "514421373",
            "telephone_number": "712-263-2020",
            "fax_number": "712-263-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 HAMILTON BLVD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511044148",
            "telephone_number": "712-252-4333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "721 10th St",
            "address_purpose": "LOCATION",
            "city": "Onawa",
            "state": "IA",
            "postal_code": "510401128",
            "country_code": "US",
            "telephone_number": "712-433-2020",
            "fax_number": "712-423-1685",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 N Main St",
            "address_purpose": "LOCATION",
            "city": "Denison",
            "state": "IA",
            "postal_code": "514421373",
            "country_code": "US",
            "telephone_number": "712-263-2020",
            "fax_number": "712-263-4053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIESE",
        "first_name": "CAL",
        "middle_name": "EDWARD",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "114761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Cal.Wiese@direct.revolutionehr.com",
            "affiliation": "N",
            "endpointDescription": "PHI Exchange",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PHI",
            "address_1": "1909 Hamilton Blvd",
            "city": "Sioux City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "511044148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Danny Lavern Whiting, D.D.S.
• Rebecca Whitlock, LMHC
• Tina Wickersham, LMHC TEMP
• Sara Wiedenfeld, PHARM.D
• Terrel Wiedenfeld, PHARMD, BCPS
• Linda Wieseler, MSE
• Macey Lynn Wignall
• Robert Alfred Wikstrom
• Kourtney L Wilcox, ARNP
• Clifford W Wilkinson, PA-C

• Optometrist in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.