Paul W Wilken, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3317 Issued in OH

Practice address

119 Summit St
Celina, OH 45822-1023

Phone

(419) 586-5149

Fax

(419) 586-3122

NPI assigned

Jul 11, 2005

Reactivated

Mar 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aeg Ohio Professional PC

  • Optometrist
  • Solon, OH
  • NPI 1154980811
  Medicare reassignment NPD
• Aeg Ohio Professional PC

  • Optometrist
  • Cincinnati, OH
  • NPI 1932708047
  NPD
• John M. Price OD, Inc.

  • Optometrist
  • Oakwood, OH
  • NPI 1376612135
  NPD (past)
• Michael a. Fishbaugh Jr. O.D. Inc.

  • Optometrist
  • Saint Henry, OH
  • NPI 1285814558
  NPD (past)

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1376541714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 SUMMIT ST",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458221023",
            "telephone_number": "419-586-5149",
            "fax_number": "419-586-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 SUMMIT ST",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458221023",
            "telephone_number": "419-586-5149",
            "fax_number": "419-586-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKEN",
        "first_name": "PAUL",
        "middle_name": "W",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2012-01-10",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0496897",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey A White, M.D.
• Peter R White, M.D.
• Chasity Rachel Whitley, LISW, LCDC III
• Kellie Whitsett, PT, DPT
• William Honnold Wiley, DDS
• William H Wiley DDS Inc
• Sarah L Willmann, D.D.S.
• Samantha Wilson, LMT
• Jonathan Winner, D.O.
• Michelle Winner, OTR/L

• Optometrist in Celina, OH
• Providers in Celina, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.