Tammy Lynn Wieties, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046008222 Issued in IL

Practice address

905 W Mefford St
Robinson, IL 62454-1065

Phone

(618) 544-3525

Fax

(618) 544-3261

NPI assigned

Aug 9, 2005

Last updated

Feb 22, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

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

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Wellness Eyecare LLCGroup PAC ID 0042590408, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Advanced Wellness Eyecare LLC

  • Optometrist
  • Robinson, IL
  • NPI 1659821510
  Medicare reassignment Care Compare group NPD
• Center for Sight of Central Illinois SC

  dba Central Illinois Vision Center

  • Ophthalmology Physician
  • Decatur, IL
  • NPI 1093854820

  Optometrist

  NPD (past)
• Chittick Family Vision Center, LTD.

  • Optometrist
  • Paris, IL
  • NPI 1467640516
  NPD (past)
• William H Bedwell OD

  • Optometrist
  • Robinson, IL
  • NPI 1760652044
  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1467453993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 W MEFFORD ST",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "624541065",
            "telephone_number": "618-544-3525",
            "fax_number": "618-544-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 W MEFFORD ST",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "624541065",
            "telephone_number": "618-544-3525",
            "fax_number": "618-544-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIETIES",
        "first_name": "TAMMY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01732006",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "281651",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Wampler
• WC- Robinson Ops, LLC (Brookstone Estates Robinson)
• Valerie Michele Weck, PH.D.
• Debbie Weger, BA
• Kristi D Weidner, ATC
• William H Bedwell OD
• Megan Williams, MSW, LCSW
• Michele Lynn Wright, MS OTRL
• Mahmoud A Yassin, M.D.
• Jeffrey A. Zanoni, BC - H.I.S.

• Optometrist in Robinson, IL
• Providers in Robinson, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.