Organization Active NPI

Wendell Eye Care Optometric PA

  • Optometrist
  • Wendell, NC
National Provider Identifier
1437396454
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2118 Issued in NC
Legal business name
WENDELL EYE CARE OPTOMETRIC PA
Practice address
18 S Main St
Wendell, NC 27591-9023
Phone
(919) 366-6599
Fax
(919) 366-6355
NPI assigned
Jan 13, 2009
Last updated
Mar 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Dr. Jonathan M Lutz, O.D.NPI 1538316112
Title
Owner
Phone
(919) 366-6599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2118 NC Primary

Addresses

Primary practice location

18 S Main St
Wendell, NC 27591-9023

Mailing address

18 S Main St
Wendell, NC 27591-9023
Phone (919) 366-6599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160721001599 NC Part B Supplier - Clinic/Group Practice 8325331879 Receives reassigned benefits from 3 practitioners
Practice locations: Wendell, NC

National Provider Directory

National Provider Directory

Locations

18 S Main St
Wendell, NC 27591
Phone (919) 366-6599

2495 Wendell Blvd
Wendell, NC 27591
Phone (919) 366-6599

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1437396454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 S MAIN ST",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275919023",
            "telephone_number": "919-366-6599",
            "fax_number": "919-366-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 S MAIN ST",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275919023",
            "telephone_number": "919-366-6599",
            "fax_number": "919-366-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDELL EYE CARE OPTOMETRIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "LUTZ",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-366-6599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wendell, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.