Individual provider Active NPI

Wayne Edward Culbertson, O.D.

  • Optometrist
  • Dallas, TX
National Provider Identifier
1376530709
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6009TG Issued in TX
Practice address
10740 N Central Expy Ste 250
Dallas, TX 75231-2161
Phone
(214) 253-0202
Fax
(214) 253-0203
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6009TG TX Primary

Addresses

Primary practice location

10740 N Central Expy Ste 250
Dallas, TX 75231-2161

Mailing address

10740 N Central Expy Ste 250
Dallas, TX 75231-2142
Phone (214) 253-0202

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040424000349 TX Practitioner - Optometry 7517953409 Reassigns benefits to 1 organization
Practice locations: Dallas, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Judith a. Kirby, M.D., P.a.Group PAC ID 3173605680, 4 clinicians

Practice addresses (Care Compare)

10740 N Central Expy
Suite 250
Dallas, TX 75231-2161
Phone (214) 253-0202

Merit-based Incentive Payment System (MIPS)

Final score
93.09 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6009TXMDChiropractor
6009TGTXMDOptometrist
935NCMDAcupuncturist

Interoperability endpoints

  • Direct secure messaging: wedward.culbertson.p1@direct.kirbyeyecenter.nextgenshare.com

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1376530709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10740 N CENTRAL EXPY STE 250",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312142",
            "telephone_number": "214-253-0202",
            "fax_number": "214-253-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10740 N CENTRAL EXPY STE 250",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312161",
            "telephone_number": "214-253-0202",
            "fax_number": "214-253-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULBERTSON",
        "first_name": "WAYNE",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6009TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.