Wellington and Weddell Eye Care, PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

WELLINGTON AND WEDDELL EYE CARE, PC

Practice address

116 W Washington St
Goshen, IN 46526-3729

Phone

(574) 533-7345

Fax

(574) 533-5683

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Brett F Weddell, D.O.NPI 1497867840

Title

Business Owner/Doctor

Phone

(574) 533-7345

Specialties & licenses 1

Addresses

Other names 1

• Wellington Eye Care Former legal business name

Medicare fee-for-service enrollment

Enrolled in IN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brett Frederick Weddell, O.D.

  • Optometrist
  • Goshen, IN
  • NPI 1497867840
  Medicare reassignment Care Compare group Authorized official
• James Lars Wellington Jr., O.D.

  • Optometrist
  • Goshen, IN
  • NPI 1104938547
  Medicare reassignment Care Compare group
• Shayna L Bowman, O.D.

  • Optometrist
  • Ooltewah, TN
  • NPI 1508192386
  NPD
• Hershminder Dhanoa Mann, O.D.

  • Optometrist
  • Stockton, CA
  • NPI 1568724318
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1467564864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 W WASHINGTON ST",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465263729",
            "telephone_number": "574-533-7345",
            "fax_number": "574-533-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W WASHINGTON ST",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465263729",
            "telephone_number": "574-533-7345",
            "fax_number": "574-533-5683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLINGTON AND WEDDELL EYE CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "WEDDELL",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "BUSINESS OWNER/DOCTOR",
        "authorized_official_telephone_number": "574-533-7345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellington Eye Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Brett Frederick Weddell, O.D.
• Anika J Wedel, RN
• Emily Welch, LCSW
• Tina D Weldy, MS
• Mary Welker
• James Lars Wellington Jr., O.D.
• Jeff Wertz, M.A.
• West Point Optical Group
• Cynthia Marie Weyers, FNP
• James A Wheeler, MD

• Optometrist in Goshen, IN
• Providers in Goshen, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.