Active NPI
Wesley Dewayne Lewis, O.D.
- Optometrist
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- R-251-TA-A69
- Practice address
- 1303 Dr Martin L King Jr Ave
Mobile, AL 36603-5341 - Phone
- (251) 666-5060
- Fax
- (251) 666-5789
- NPI assigned
- Jul 14, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 944TPA94515 | MS | |
| Optometrist | 152W00000X | R-251-TA-A69 | AL | Primary |
Addresses
Primary practice location
1303 Dr Martin L King Jr Ave
Mobile, AL 36603-5341
Mailing address
3187 Cornell Dr Ste 201
Gulf Breeze, FL 32563-2785
Phone (228) 731-7417
Other practice location 1
3187 Cornell Dr Ste 201
Gulf Breeze, FL 32563-2785
Phone (228) 731-7417
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AL, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-251-TA-A69 | AL | MD | Optometrist |
| 944TPA94515 | MS | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyecare Associates, Inc. | Optometrist | Current | Accepting new patients |
| Franklin Primary Health Center, Inc | Current | Accepting new patients | |
| US Health Dept of Health & Human Services | Current | Accepting new patients | |
| Eyecare Associates, Inc. | Optometrist | Current | Accepting new patients |
| Eyecare Associates, Inc. | Optometrist | Current | Accepting new patients |
| Franklin Primary Health Center, Inc | Current | Accepting new patients | |
| U S Health Dept of Health & Human Services | Current | Accepting new patients | |
| Aria Eye Care, LLC | Optometrist | Current | Accepting new patients |
| Franklin Primary Health Center Inc. | Optometrist | Current | Accepting new patients |
Locations
211 Ana Dr
Florence, AL 35630
Phone (256) 760-9942
7880 Old Madison Pike
Madison, AL 35758
Phone (256) 772-8711
1303 Dr Martin L King Jr Ave
Mobile, AL 36603
Phone (251) 436-7646
1303 Dr Martin L King Jr Ave
#A
Mobile, AL 36603
2740 Zelda Rd
Ste 5B
Montgomery, AL 36106
Phone (682) 234-1164
606 S George Wallace Dr
Troy, AL 36081
Phone (334) 566-2020
669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100
107 H St
Poplar, MT 59255
Phone (406) 738-3491
10826 Old Mill Rd
Ste 101
Omaha, NE 68154
Interoperability endpoints
- wlewis@direct.eyecare-partners.com
Organizations & group practices 10
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.
-
- Federally Qualified Health Center (FQHC)
- Mobile, AL
- NPI 1679532303
Optometrist
-
- Optometrist
- Montgomery, AL
- NPI 1871475038
-
- Federally Qualified Health Center (FQHC)
- Evergreen, AL
- NPI 1346733821
-
- Federally Qualified Health Center (FQHC)
- Uriah, AL
- NPI 1881014371
-
- Critical Access Hospital
- Lodge Grass, MT
- NPI 1750410395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558483200000",
"number": "1386873180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3187 CORNELL DR STE 201",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325632785",
"telephone_number": "228-731-7417",
"fax_number": "636-527-0766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 DR MARTIN L KING JR AVE",
"city": "MOBILE",
"state": "AL",
"postal_code": "366035341",
"telephone_number": "251-666-5060",
"fax_number": "251-666-5789"
}
],
"practiceLocations": [
{
"address_1": "3187 Cornell Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Gulf Breeze",
"state": "FL",
"postal_code": "325632785",
"country_code": "US",
"telephone_number": "228-731-7417",
"fax_number": "636-527-0766",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "WESLEY",
"middle_name": "DEWAYNE",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-14",
"last_updated": "2019-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MS",
"license": "944TPA94515",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "R-251-TA-A69",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.