Benjamin Hale Wacker, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2501 Issued in NC

Practice address

1902 N Sandhills Blvd Ste E
Aberdeen, NC 28315-2347

Phone

(910) 692-2020

NPI assigned

Aug 1, 2016

Last updated

May 5, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Eye Care of the Carolinas PAGroup PAC ID 0345341350, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.97 of 100Reported as group

Quality

97.94

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Family Eye Care of the Carolinas PA

  • Ophthalmology Physician
  • Aberdeen, NC
  • NPI 1326157215
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1417400987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 N SANDHILLS BLVD STE E",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283152347",
            "telephone_number": "910-692-2020",
            "fax_number": "800-308-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 N SANDHILLS BLVD STE E",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283152347",
            "telephone_number": "910-692-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACKER",
        "first_name": "BENJAMIN",
        "middle_name": "HALE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-01",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Unique Health Solutions Inc
• Urgent Cares of America North Carolina Inc (Fastmed Urgent Care of Aberdeen)
• Urgent Cares of America North Carolina Inc. (FastMed Urgent Care)
• Village Caregivers, LLC
• Villagestaffing LLC (Village Home Care)
• Roger D Waddell, M.D.
• Katharine I Waitt, LCSW, LCAS
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1097)
• Wal-Mart Stores East, LP. (Walmart pharmacy 10-3164)
• Walgreen Co (Walgreens #07096)

• Optometrist in Aberdeen, NC
• Providers in Aberdeen, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.