Wahpeton Family Eyecare Center, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

481 Issued in ND

Legal business name

WAHPETON FAMILY EYECARE CENTER, P.C.

Practice address

517 Dakota Ave
Wahpeton, ND 58075-4414

Phone

(701) 642-9302

Fax

(701) 642-4321

NPI assigned

Feb 15, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Brian Connelly, O.D.NPI 1508884016

Title

President

Phone

(701) 642-9302

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Brian Connelly, O.D.

  • Optometrist
  • Wahpeton, ND
  • NPI 1508884016
  NPD (past) Authorized official

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417090945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 DAKOTA AVE",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580754414",
            "telephone_number": "701-642-9302",
            "fax_number": "701-642-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 DAKOTA AVE",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580754414",
            "telephone_number": "701-642-9302",
            "fax_number": "701-642-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAHPETON FAMILY EYECARE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONNELLY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-642-9302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ellen Vermillion, BASC, LRD
• Karen M Viger, CDE
• Asia Villarreal
• Wahpeton Drug Company Inc
• Wahpeton Family Dentistry
• Wahpeton Public School District
• Mark Alan Wasemiller, D.D.S
• Paul S Wasemiller, MD
• Peggy J Wasemiller, OT
• Elizabeth Weisz

• Optometrist in Wahpeton, ND
• Providers in Wahpeton, ND by specialty
• Optometrist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.