John Robert Walesby Jr., O.D.

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

OPC 2811 Issued in FL

Practice address

2510 W Waters Ave
Tampa, FL 33614-1833

Phone

(813) 915-0755

Fax

(813) 915-0704

NPI assigned

Aug 8, 2006

Last updated

Jan 26, 2012By the provider in NPPES

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 FL

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

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.

• Walesby Vision Center P a

  • Vision Therapy Optometrist
  • Oldsmar, FL
  • NPI 1265719066
  Medicare reassignment NPD

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1548270044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141833",
            "telephone_number": "813-915-0755",
            "fax_number": "813-915-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141833",
            "telephone_number": "813-915-0755",
            "fax_number": "813-915-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALESBY",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "FL",
            "license": "OPC 2811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084909000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alex Lamar Waldron
• Laurie Beth Waldron, PA-C
• Rhett Waldron, DO
• April R Wales, MA, RMHCI
• John Robert Walesby, O.D.
• Andrew J Walford, MD
• Dakshina N B Walgampaya, MD
• Daniel Glenn Walgenbach, MD
• Walgreen Co (Walgreens #02959)
• Walgreen Co (Walgreens #15129)

• Vision Therapy Optometrist in Tampa, FL
• Providers in Tampa, FL by specialty
• Vision Therapy Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.