Jimmy Wadley Eye Care PA

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

2767T Issued in TX

Legal business name

JIMMY WADLEY EYE CARE PA

Doing business as

Wadley EyeCare

Practice address

262 S Leggett Dr
Abilene, TX 79605-1628

Phone

(325) 676-2125

Fax

(325) 673-8160

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James Wesley Wadley, O.D.NPI 1922160423

Title

President

Phone

(325) 676-2125

Specialties & licenses 1

Addresses

Other names 1

• Wadley EyeCare Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• James Wesley Wadley, O.D.

  • Corneal and Contact Management Optometrist
  • Abilene, TX
  • NPI 1922160423
  Medicare reassignment Authorized official
• Amanda Sappington, O.D.

  • Optometrist
  • Canyon, TX
  • NPI 1104178763
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1568524890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 S LEGGETT DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796051628",
            "telephone_number": "325-676-2125",
            "fax_number": "325-673-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 S LEGGETT DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796051628",
            "telephone_number": "325-676-2125",
            "fax_number": "325-673-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMMY WADLEY EYE CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "WADLEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "325-676-2125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "2767T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wadley EyeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Marco Antonio Jimenez, D.P.T.
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• Richard P Johnsen, DMD

• Corneal and Contact Management Optometrist in Abilene, TX
• Providers in Abilene, TX by specialty
• Corneal and Contact Management Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.