Organization Active NPI

Wharton Eye Associates PA

  • Ophthalmology Physician
  • Wharton, TX
National Provider Identifier
1578084877
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
WHARTON EYE ASSOCIATES PA
Practice address
10119 US Hwy 59 South
Suite 4
Wharton, TX 77488
Phone
(979) 533-7337
Fax
(979) 488-2918
NPI assigned
Jun 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Priscilla Metcalf, MDNPI 1699739797
Title
Owner
Phone
(979) 533-0047

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

10119 US Hwy 59 South
Suite 4
Wharton, TX 77488

Mailing address

10119 US Hwy 59 South
Suite 4
Wharton, TX 77488
Phone (979) 533-7337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170721001453 TX Part B Supplier - Clinic/Group Practice 6608146758 Receives reassigned benefits from 1 practitioner
Practice locations: Wharton, TX

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": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1578084877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10119 US HWY 59 SOUTH",
            "address_2": "SUITE 4",
            "city": "WHARTON",
            "state": "TX",
            "postal_code": "77488",
            "telephone_number": "979-533-7337",
            "fax_number": "979-488-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10119 US HWY 59 SOUTH",
            "address_2": "SUITE 4",
            "city": "WHARTON",
            "state": "TX",
            "postal_code": "77488",
            "telephone_number": "979-533-7337",
            "fax_number": "979-488-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHARTON EYE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "METCALF",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-533-0047",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wharton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.