Individual provider Active NPI

Acasia (Casey) Marie Wegenke, O.D.

  • Optometrist
  • Laveen, AZ
National Provider Identifier
1457561250
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002522 Issued in AZ
Practice address
7650 S 59TH Ave Ste 101
Laveen, AZ 85339-3072
Phone
(602) 237-3576
Fax
(602) 237-3668
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11449T CA
Optometrist 152W00000X OPT-002522 AZ Primary

Addresses

Primary practice location

7650 S 59TH Ave Ste 101
Laveen, AZ 85339-3072

Mailing address

955 W Southern Ave Ste 101
Mesa, AZ 85210-4903
Phone (480) 961-1865

Other practice location 1

350 John Muir Parkway
Suite 200
Brentwood, CA 94513
Phone (925) 634-6101

Other practice location 2

8404 E Shea Blvd # 105
Scottsdale, AZ 85260-6658
Phone (480) 483-0711

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20220720003038 AZ Practitioner - Optometry 5294025714 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11449TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nationwide Optometry P.C. Optometrist CurrentSince Jun 16, 2022 Accepting new patients
Nationwide Optometry P.C. Optometrist CurrentSince Jun 16, 2022 Accepting new patients
Nationwide Optometry P.C. Optometrist Past Accepting new patients
Nationwide Optometry P.C. Optometrist PastSince Sep 1, 2022 Accepting new patients
Nationwide Optometry P.C. Optometrist Past Accepting new patients
Brentwood Eye Care Optometrist PastSince Mar 17, 2024 Accepting new patients

Locations (25 of 58)

39508 N Daisy Mountain Dr
Ste 150
Anthem, AZ 85086
Phone (623) 551-6192

95 S Idaho Rd
Ste 170
Apache Junction, AZ 85119
Phone (480) 983-3438

10485 W McDowell Rd
Ste 103
Avondale, AZ 85392
Phone (480) 908-1001

860 S Watson Rd
Ste 107
Buckeye, AZ 85326
Phone (623) 386-8802

2840 Highway 95
Ste 416418
Bullhead City, AZ 86442
Phone (928) 704-1808

1775 E Florence Blvd
Ste 2
Casa Grande, AZ 85122
Phone (520) 426-1600

220 N McKemy Ave
Chandler, AZ 85226
Phone (480) 961-1865

4025 S Gilbert Rd
Ste 3
Chandler, AZ 85249
Phone (480) 988-6847

2050 N Alma School Rd
Ste 14
Chandler, AZ 85224
Phone (480) 786-1075

801 S Milton Rd
Flagstaff, AZ 86001
Phone (928) 213-1400

1495 N Higley Rd
Ste 106
Gilbert, AZ 85234
Phone (623) 289-8962

1672 E Guadalupe Rd
Ste 111
Gilbert, AZ 85234
Phone (480) 892-6495

115 E Williams Field Rd
Gilbert, AZ 85295

6510 S Higley Rd
Ste 101
Gilbert, AZ 85298
Phone (480) 988-0765

5707 W Northern Ave
Ste 106
Glendale, AZ 85301
Phone (602) 512-3299

5026 W Cactus Rd
Ste 4
Glendale, AZ 85304
Phone (602) 547-9124

9524 W Camelback Rd
Ste 150
Glendale, AZ 85305
Phone (623) 872-8822

20221 N 67th Ave
Ste E8
Glendale, AZ 85308
Phone (623) 362-2349

1170 N Estrella Pkwy
Ste A105
Goodyear, AZ 85338
Phone (623) 932-0428

14175 W Indian School Rd
Goodyear, AZ 85395
Phone (623) 536-2575

18690 S Nogales Hwy
Ste 118
Green Valley, AZ 85614
Phone (520) 648-0698

7650 S 59th Ave
Ste 101
Laveen, AZ 85339
Phone (602) 237-3576

20928 N John Wayne Pkwy
Ste C6
Maricopa, AZ 85139
Phone (520) 316-4388

5846 E McKellips Rd
Mesa, AZ 85215
Phone (480) 396-3653

1950 E University Dr
Mesa, AZ 85203
Phone (480) 844-7097

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ecp_cecaz
  • Direct secure messaging: dr.acasia.wegenke@direct.eyecare-partners.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1457561250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 W SOUTHERN AVE STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852104903",
            "telephone_number": "480-961-1865",
            "fax_number": "480-893-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 S 59TH AVE STE 101",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853393072",
            "telephone_number": "602-237-3576",
            "fax_number": "602-237-3668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 John Muir Parkway",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "CA",
            "postal_code": "94513",
            "country_code": "US",
            "telephone_number": "925-634-6101",
            "fax_number": "925-634-1380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8404 E Shea Blvd # 105",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852606658",
            "country_code": "US",
            "telephone_number": "480-483-0711",
            "fax_number": "480-483-8535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEGENKE",
        "first_name": "ACASIA (CASEY)",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2024-02-01",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11449T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

Verify at the official NPI Registry.