Individual provider Active NPI

Dave William Wineland, OD

  • Optometrist
  • Mount Vernon, OH
National Provider Identifier
1609962299
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3755-T701 Issued in OH
Practice address
110 Coshocton Ave Ste C
Mount Vernon, OH 43050-2628
Phone
(740) 392-4000
Fax
(740) 392-6379
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3755-T701 OH Primary

Addresses

Primary practice location

110 Coshocton Ave Ste C
Mount Vernon, OH 43050-2628

Mailing address

110 Coshocton Ave Ste C
Mount Vernon, OH 43050-2628
Phone (740) 392-4000

Other identifiers 4

IdentifierTypeStateIssuer
1215092804OtherOHNPI GROUP CIR
1538223417OtherNPI GROUP MTV
9240821OtherPTAN MTV
1609962299OtherOHNPI INDIVIDUAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20080221000335 OH Practitioner - Optometry 7618871641 Reassigns benefits to 1 organization
Receives reassigned benefits from 2 practitioners
Practice locations: Mt Vernon, OH; Circleville, OH

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Eye Optometric LLCGroup PAC ID 7012144876, 11 clinicians

Practice addresses (Care Compare)

110 Coshocton Ave
Mount Vernon, OH 43050-2628
Phone (419) 756-8000

466 S Trimble Rd
Mansfield, OH 44906-3416
Phone (419) 756-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Eye Optometric, LLC Optometrist CurrentSince Mar 3, 2025 Accepting new patients
Ohio Eye Surgeons, Inc Current Accepting new patients
Ohio Eye Optometric LLC Optometrist CurrentSince Mar 3, 2025 Accepting new patients

Locations

466 S Trimble Rd
Mansfield, OH 44906
Phone (419) 756-8000

110 Coshocton Ave
Ste C
Mount Vernon, OH 43050
Phone (419) 756-8000

Interoperability endpoints

  • Direct secure messaging: dwineland@ohioeye.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 2

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

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1609962299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 COSHOCTON AVE STE C",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430502628",
            "telephone_number": "740-392-4000",
            "fax_number": "740-392-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 COSHOCTON AVE STE C",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430502628",
            "telephone_number": "740-392-4000",
            "fax_number": "740-392-6379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINELAND",
        "first_name": "DAVE",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3755-T701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP CIR",
            "identifier": "1215092804",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP MTV",
            "identifier": "1538223417",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN MTV",
            "identifier": "9240821",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1609962299",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

Verify at the official NPI Registry.