Thomas Joseph Wiegand, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18001620 Issued in IN

Practice address

712 Cameron Woods Dr
Angola, IN 46703

Phone

(260) 668-3937

Fax

(260) 668-3794

NPI assigned

May 31, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• DRS. Baals and Wiegand Family Eye Care P.C.

  • Optometrist
  • Angola, IN
  • NPI 1710963152
  NPD (past)
• Midwest Eye Consultants P.C.

  dba Midwest Eye Consultants #31

  • Optometrist
  • Crown Point, IN
  • NPI 1134641202
  NPD (past)
• Midwest Eye Consultants, P.C.

  dba Midwest Eye Consultants #12

  • Optometrist
  • Greensburg, IN
  • NPI 1013480482
  NPD (past)

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1396748703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469920549",
            "telephone_number": "260-569-9550",
            "fax_number": "260-569-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 CAMERON WOODS DR",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "46703",
            "telephone_number": "260-668-3937",
            "fax_number": "260-668-3794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEGAND",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000092387",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100152890",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily A Watkins, PT
• Larry E Watkins, M.D.
• Tamara Lynn Watkins, DDS
• Sung Ook Whang, M.D.
• Allison White
• Galen Ricci Williams, DDS
• Shawna R Woodlee, RBT
• Kimberly Wright, LMHC
• Donna Marie Wyse, LMHC
• Cierra Young

• Optometrist in Angola, IN
• Providers in Angola, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.