Individual provider Active NPI

Wesley Schwartz, OD

  • Optometrist
  • Bismarck, ND
National Provider Identifier
1588949630
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
718 Issued in ND
Practice address
3119 N 14TH St
Bismarck, ND 58503-0664
Phone
(701) 222-3937
Fax
(701) 222-8805
NPI assigned
Oct 19, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 718 ND Primary

Addresses

Primary practice location

3119 N 14TH St
Bismarck, ND 58503-0664

Mailing address

200 S 5TH St
Bismarck, ND 58504-5675
Phone (701) 222-3937

Other practice location 1

200 S 5th St
Bismarck, ND 58504-5675
Phone (701) 222-3937

Other identifiers 1

IdentifierTypeStateIssuer
1468562MedicaidND

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20141118001485 ND Practitioner - Optometry 3274755756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dakota Eye Institute PCGroup PAC ID 2062404205, 15 clinicians

Practice addresses (Care Compare)

3119 N 14TH St
Bismarck, ND 58503-0664
Phone (701) 222-3937

Merit-based Incentive Payment System (MIPS)

Final score
82.05 of 100Reported as group
Quality
92.92
Promoting interoperability
100
Improvement activities
40
Cost
47.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Vision Clinic LLC Optometrist CurrentSince Aug 26, 2016 Accepting new patients
Family Vision Clinic LLC Optometrist CurrentSince Aug 26, 2016 Accepting new patients
Dakota Eye Institute PC Optometrist CurrentSince Sep 11, 2017 Accepting new patients

Locations

3119 N 14th St
Bismarck, ND 58503
Phone (701) 222-3937

200 S 5th St
Bismarck, ND 58504
Phone (701) 222-3937

111 E Century Ave
Bismarck, ND 58503
Phone (701) 222-1420

114 N Broadway St
Ste 1
Linton, ND 58552
Phone (701) 254-4450

Interoperability endpoints

  • Direct secure messaging: wschwartz@dakotaeye.emadirect.md

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1588949630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S 5TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045675",
            "telephone_number": "701-222-3937",
            "fax_number": "701-222-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3119 N 14TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030664",
            "telephone_number": "701-222-3937",
            "fax_number": "701-222-8805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 S 5th St",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585045675",
            "country_code": "US",
            "telephone_number": "701-222-3937",
            "fax_number": "701-222-8805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "WESLEY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-19",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1468562",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.