Active NPI
Denton Hersey Wells, O.D.
- Corneal and Contact Management Optometrist
- Victorville, CA
National Provider Identifier
1437119237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 5479T
- Practice address
- 14349 Amargosa Rd
Victorville, CA 92392-2317 - Phone
- (760) 241-2020
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 5479T | CA | Primary |
Addresses
Primary practice location
14349 Amargosa Rd
Victorville, CA 92392-2317
Mailing address
14349 Amargosa Rd
Victorville, CA 92392-2317
Phone (760) 241-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437119237 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5479T | CA | MD | Corneal and Contact Management Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474934400000",
"number": "1437119237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14349 AMARGOSA RD",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923922317",
"telephone_number": "760-241-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14349 AMARGOSA RD",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923922317",
"telephone_number": "760-241-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "DENTON",
"middle_name": "HERSEY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2016-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CA",
"license": "5479T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1437119237",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.