Ka Wheaton Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

KA WHEATON INC

Practice address

11193 Veirs Mill Rd
Wheaton, MD 20902-2534

Phone

(301) 946-4700

Fax

(301) 933-2238

NPI assigned

May 16, 2016

Last updated

May 16, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Kepner, ODNPI 1043335359

Title

Owner

Phone

(301) 946-4700

Specialties & licenses 1

Addresses

Tax ID family

Ka Wheaton Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pearle Vision Wheaton

  • Optometrist
  • Wheaton, MD
  • NPI 1992136584
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Ivor Kepner, O.D.

  • Optometrist
  • Wheaton, MD
  • NPI 1043335359
  NPD (past) Authorized official

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1518314988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11193 VEIRS MILL RD",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209022534",
            "telephone_number": "301-946-4700",
            "fax_number": "301-933-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11193 VEIRS MILL RD",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209022534",
            "telephone_number": "301-946-4700",
            "fax_number": "301-933-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KA WHEATON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "KEPNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-946-4700",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rotem Itzhaki, SPT
• Eric M Jeffries, MD
• Joseph Jegede, PT
• Frank Johnson, MD
• Earlene Jordan, M.D.
• Michael A Kaliner, M.D.
• William Keefe, MD
• David Ivor Kepner, O.D.
• Khalfani Walker, DMD, LLC (Elite Dental Center)
• Wajeed Khan, M.D.

• Ophthalmology Physician in Wheaton, MD
• Providers in Wheaton, MD by specialty
• Ophthalmology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.