NPIMap

Organization Active NPI

Wells Eye Care, LLC.

  • Optometrist
  • Kennett, MO
National Provider Identifier
1558504233
Registry record updated Apr 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
MO2008017057 Issued in MO
Legal business name
WELLS EYE CARE, LLC.
Practice address
1500 1St St
Kennett, MO 63857-2522
Phone
(573) 888-5331
Fax
(573) 888-1335
NPI assigned
Apr 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2009

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

Authorized official

Name
Dr. Casey A Wells, O.D.NPI 1467613711
Title
Optometrist
Phone
(870) 740-2263

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X MO2008017057 MO Primary

Addresses

Primary practice location

1500 1St St
Kennett, MO 63857-2522

Mailing address

628 Leah LN
Manila, AR 72442-9128
Phone (870) 740-2263

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239321600000",
    "number": "1558504233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 LEAH LN",
            "city": "MANILA",
            "state": "AR",
            "postal_code": "724429128",
            "telephone_number": "870-740-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 1ST ST",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638572522",
            "telephone_number": "573-888-5331",
            "fax_number": "573-888-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLS EYE CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-10",
        "last_updated": "2009-04-10",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "870-740-2263",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "MO2008017057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennett, MO

Sources for this page

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