Individual provider Active NPI

David M Wenz, O.D.

  • Optometrist
  • Wilmington, NC
National Provider Identifier
1467531590
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2613 Issued in NC
Practice address
3901 Oleander Dr
Wilmington, NC 28403-6733
Phone
(910) 395-2772
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27TO00110700 NJ
Optometrist 152W00000X 3283T OR
Optometrist 152W00000X 2613 NC Primary

Addresses

Primary practice location

3901 Oleander Dr
Wilmington, NC 28403-6733

Mailing address

11086 S.E. Oak St.
Milwaukee, OR 97222-6692
Phone (503) 557-2020

Other identifiers 5

IdentifierTypeStateIssuer
2K5747OtherHEALTHNET
7312177OtherAETNA
P00318029OtherRAILROAD MEDICARE
08-02549OtherEVERCARE
C406C10OtherEMPIRE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200608000608 NC Practitioner - Optometry 2567419179 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecarecenter OD PAGroup PAC ID 7315834462, shared by 4 NPIs, 71 clinicians

Practice addresses (Care Compare)

119 E Hargett St
Raleigh, NC 27601-1579
Phone (919) 856-8555

3901 Oleander Dr
Wilmington, NC 28403-6712
Phone (910) 395-2772

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27TO00110700NJMDOptometrist
3283TORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecarecenter OD PA Optometrist Current Accepting new patients
Eyecarecenter OD PA Optometrist CurrentSince Mar 4, 2020 Accepting new patients
Eyecarecenter OD PA Optometrist CurrentSince Mar 4, 2020 Accepting new patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince Mar 4, 2020 Accepting new patients
Optometric Physicians of Red Bank LLC Optometrist Past Accepting new patients
Del Negro & Senft Eye Associates, P.C. Optometrist PastSince Jun 19, 1991 Accepting new patients
Optometric Physcians of Red Bank Optometrist Past Accepting new patients
Del Negro & Senft Eye Associates, P.C. Optometrist Past Accepting new patients
Eyehealth Northwest Optical, LLC Past Accepting new patients
C.V. Sikes,Jr. & R.B. Gotschalk PTR Optometrist Past Accepting new patients

Locations

720 SE Maynard Rd
Cary, NC 27511
Phone (919) 467-0959

119 E Hargett St
Raleigh, NC 27601
Phone (919) 856-8555

819 Tiffany Blvd
Rocky Mount, NC 27804
Phone (252) 972-2020

4107 Oleander Dr
Wilmington, NC 28403
Phone (910) 395-2772

4107 Oleander Dr
Ste B
Wilmington, NC 28403
Phone (910) 395-2772

3901 Oleander Dr
Wilmington, NC 28403
Phone (910) 395-2772

Interoperability endpoints

  • Direct secure messaging: davidwenz@direct.eyecare-partners.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1467531590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11086 S.E. OAK ST.",
            "city": "MILWAUKEE",
            "state": "OR",
            "postal_code": "972226692",
            "telephone_number": "503-557-2020",
            "fax_number": "503-344-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036733",
            "telephone_number": "910-395-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENZ",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27TO00110700",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3283T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2K5747",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7312177",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00318029",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "08-02549",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE",
            "identifier": "C406C10",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.