Individual provider Active NPI

Wesley Dewayne Lewis, O.D.

  • Optometrist
  • Mobile, AL
National Provider Identifier
1386873180
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
R-251-TA-A69 Issued in AL
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

Updated by the provider on May 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, MS3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160513000458 TX Practitioner - Optometry 3577602697 Reassigns benefits to 1 organization
I20170712003811 AL Practitioner - Optometry 3577602697 Reassigns benefits to 3 organizations
I20220215002661 MS Practitioner - Optometry 3577602697 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R-251-TA-A69ALMDOptometrist
944TPA94515MSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates, Inc. Optometrist CurrentSince May 10, 2017 Accepting new patients
Franklin Primary Health Center, Inc CurrentSince Jan 3, 2018 Accepting new patients
US Health Dept of Health & Human Services CurrentSince May 2, 2016 Accepting new patients
Eyecare Associates, Inc. Optometrist CurrentSince May 10, 2017 Accepting new patients
Eyecare Associates, Inc. Optometrist Current Accepting new patients
Franklin Primary Health Center, Inc CurrentSince Jan 3, 2018 Accepting new patients
U S Health Dept of Health & Human Services CurrentSince May 2, 2016 Accepting new patients
Aria Eye Care, LLC Optometrist CurrentSince May 18, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.