Active NPI
Dave William Wineland, OD
- Optometrist
- Mount Vernon, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3755-T701
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215092804 | Other | OH | NPI GROUP CIR |
| 1538223417 | Other | NPI GROUP MTV | |
| 9240821 | Other | PTAN MTV | |
| 1609962299 | Other | OH | NPI 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Eye Optometric, LLC | Optometrist | Current | Accepting new patients |
| Ohio Eye Surgeons, Inc | Current | Accepting new patients | |
| Ohio Eye Optometric LLC | Optometrist | Current | 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
- 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.
-
- Optometrist
- Mount Vernon, OH
- NPI 1740596097
-
- Optometrist
- Mount Vernon, OH
- NPI 1962851014
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.
-
- Optometrist
- Mansfield, OH
- NPI 1447592050
-
- Ophthalmology Physician
- Mansfield, OH
- NPI 1093198566
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.