Wga Eye Care Group LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2567 Issued in MA

Legal business name

WGA EYE CARE GROUP LLC

Practice address

625 County St
Taunton, MA 02780-3651

Phone

(508) 880-9505

NPI assigned

Mar 10, 2009

Last updated

Mar 10, 2009By 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

Walter Potaznick, OD

Title

Owner

Phone

(508) 880-9505

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Robert V. Peyton, O.D.

  • Optometrist
  • Fall River, MA
  • NPI 1780909770
  NPD (past)

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236643200000",
    "number": "1548401235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 COUNTY ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803651",
            "telephone_number": "508-880-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 COUNTY ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803651",
            "telephone_number": "508-880-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WGA EYE CARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-03-10",
        "status": "A",
        "authorized_official_last_name": "POTAZNICK",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-880-9505",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE MED",
            "identifier": "MA2567",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Weintraub Geriatric Associates, Inc PC
• Paul I Weiss, M.D.
• Colleen Wellman, B.A.
• Kathryn McKenzie Wellman
• Suanne M Wells-Scott, MSW LICSW
• Robyn Wheel
• Christine Wheeler, PHARMD
• Glen Wheeler, MD
• Zachary Wheeler
• Ashleigh Nicole Whigham, MSW, LCSW

• Optometrist in Taunton, MA
• Providers in Taunton, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; 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.