Wald Eyecare LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

WALD EYECARE LLC

Practice address

212 S Main St
Hobart, OK 73651-3628

Phone

(580) 726-3301

Fax

(580) 726-3302

NPI assigned

Apr 21, 2023

Organization subpart

No

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

Authorized official

Name

Jesse Wald, ODNPI 1982214045

Title

Optometrist/Owner

Phone

(580) 726-3301

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jesse James Wald, OD

  • Optometrist
  • Hobart, OK
  • NPI 1982214045
  Medicare reassignment Care Compare group NPD Authorized official
• Amie Rebekah Straub, O.D.

  • Optometrist
  • Altus, OK
  • NPI 1457438335
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1427745165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S MAIN ST",
            "city": "HOBART",
            "state": "OK",
            "postal_code": "736513628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S MAIN ST",
            "city": "HOBART",
            "state": "OK",
            "postal_code": "736513628",
            "telephone_number": "580-726-3301",
            "fax_number": "580-726-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALD EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "WALD",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "580-726-3301",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Evangelical Lutheran Good Samaritan Society
• Truett Guthrie
• Variety Care, Inc.
• Lupe Nicholas Vidaurri, M.ED. SOCIAL SCIENCE
• Wal-Mart Stores East LP
• Jesse James Wald, OD
• Bariah Jade Watson
• Ronda Janette Weaver, L.P.C.
• Linda Sue Wright, LPC, MS
• Yco , Inc

• Optometrist in Hobart, OK
• Providers in Hobart, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.