Thad Dustin Wells, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1770DT Issued in KY

Practice address

105 Robins Way
Suite 206
Russellville, KY 42276-1129

Phone

(270) 726-2022

Fax

(270) 726-2035

NPI assigned

Jul 13, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Indiana University - School of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wells Eye Center IncGroup PAC ID 1759436512, 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 and National Provider Directory roles.

• Wells Eye Center Inc

  • Optometrist
  • Russellville, KY
  • NPI 1619109147
  Medicare reassignment Care Compare group NPD Authorized official
• Logan County Eye Associates

  • Optometrist
  • Russellville, KY
  • NPI 1831146695
  NPD (past)

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1467681395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ROBINS WAY",
            "address_2": "SUITE 206",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422761129",
            "telephone_number": "270-726-2022",
            "fax_number": "270-726-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ROBINS WAY",
            "address_2": "SUITE 206",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422761129",
            "telephone_number": "270-726-2022",
            "fax_number": "270-726-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "THAD",
        "middle_name": "DUSTIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-13",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1770DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100085750",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bill D. Webb, O.D.
• Amy J. Webster, APRN
• Krista Hinton Webster, P.T.
• Wells Eye Center Inc
• Audrey J Wells, O.D.
• Katelyn Wentworth
• Susan Diane West, PHARMD
• Western Kentucky Chiropractic Center
• Timothy Charles Wharton, RN
• Jerrold D White, RPH

• Optometrist in Russellville, KY
• Providers in Russellville, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.