Edward J Wayman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

WA4404 Issued in WA

Practice address

403 7TH St
Hoquiam, WA 98550-3615

Phone

(360) 533-7395

NPI assigned

Apr 17, 2006

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 WA

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

Pacific University - College of Optometry, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hoquiam Vision Clinic PSGroup PAC ID 2264472604, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Hoquiam Vision Clinic PS

  • Optometrist
  • Hoquiam, WA
  • NPI 1164611133
  Medicare reassignment Care Compare group NPD Authorized official
• Behavioral Mental Healthcare LLC

  • Psychiatric/Mental Health Registered Nurse
  • Hoquiam, WA
  • NPI 1437952603
  NPD (past)

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1508820408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 7TH ST",
            "city": "HOQUIAM",
            "state": "WA",
            "postal_code": "985503615",
            "telephone_number": "360-533-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 7TH ST",
            "city": "HOQUIAM",
            "state": "WA",
            "postal_code": "985503615",
            "telephone_number": "360-533-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYMAN",
        "first_name": "EDWARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "WA4404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2064905",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alisha Lynn Vitkoczy
• Janessa Wakefield
• Timothy E Wandell, DDS
• Washington CVS Pharmacy LLC (CVS Pharmacy #11654)
• Ashley Elizabeth Wate
• Jeffrey Wayman
• Jody Wayman, RN
• Joseph Edward Wayman
• Brandi Webb
• Katherine M Weibl, COTA

• Optometrist in Hoquiam, WA
• Providers in Hoquiam, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.