Individual provider Active NPI

Aaron Mark Wiens, O.D.

  • Optometrist
  • Fresno, CA
National Provider Identifier
1598879553
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13232 Issued in CA
Practice address
1360 E Herndon Ave
Suite401
Fresno, CA 93720-3326
Phone
(559) 449-5010
Fax
(559) 449-5014
NPI assigned
Aug 18, 2006
Last updated
Jul 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13232 CA Primary

Addresses

Primary practice location

1360 E Herndon Ave
Suite401
Fresno, CA 93720-3326

Mailing address

1360 E Herndon Ave
Suite401
Fresno, CA 93720-3326
Phone (559) 449-5010

Other identifiers 6

IdentifierTypeStateIssuer
1598879553MedicaidCA
ZZZ13882ZOtherCAMEDICARE GROUP PTAN
ZZZ13883ZOtherCAMEDICARE GROUP PTAN
ZZZ13844ZOtherCAMEDICARE GROUP PTAN
ZZZ13845ZOtherMEDICARE GROUP PTAN
ZZZ13463ZOtherCAMEDICARE GROUP PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080107000350 CA Practitioner - Optometry 2668574864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fogg Remington Eyecare IncGroup PAC ID 7911993902, 18 clinicians

Practice addresses (Care Compare)

1360 E Herndon Ave
Suite 401
Fresno, CA 93720-3326
Phone (559) 449-5010

2401 W Cleveland Ave
Madera, CA 93637-3608
Phone (559) 449-5010

Merit-based Incentive Payment System (MIPS)

Final score
86.93 of 100Reported as group
Quality
87.98
Promoting interoperability
99
Improvement activities
40
Cost
62.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13232CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fogg Remington Eyecare Inc Optometrist CurrentSince Jul 1, 2007 Accepting new patients
Fogg Remington Eyecare Inc CurrentSince Jul 1, 2007 Accepting new patients
Fogg Remington Eyecare, Inc. Optometrist Past Accepting new patients

Locations

1817 Shaw Ave
Ste 104
Clovis, CA 93611
Phone (559) 449-5010

3830 N 1st St
Fresno, CA 93726
Phone (559) 449-5010

1360 E Herndon Ave
Ste 401
Fresno, CA 93720
Phone (209) 449-5010

1648 E Herndon Ave
Ste 101
Fresno, CA 93720
Phone (559) 432-2111

2401 W Cleveland Ave
Madera, CA 93637
Phone (559) 449-5010

40232 Junction Dr
Oakhurst, CA 93644
Phone (559) 449-5010

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: aaron.wiens.p4@direct.californiaeye.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1598879553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 E HERNDON AVE",
            "address_2": "SUITE401",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203326",
            "telephone_number": "559-449-5010",
            "fax_number": "559-449-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 E HERNDON AVE",
            "address_2": "SUITE401",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203326",
            "telephone_number": "559-449-5010",
            "fax_number": "559-449-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENS",
        "first_name": "AARON",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598879553",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "ZZZ13882Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "ZZZ13883Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "ZZZ13844Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "ZZZ13845Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "ZZZ13463Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.