Individual provider Active NPI

Barry M Wepman, M.D.

  • Ophthalmology Physician
  • Wakefield, RI
National Provider Identifier
1619060480
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
05238 Issued in RI
Practice address
20 Hampton Way
BLDG #1a
Wakefield, RI 02879-2553
Phone
(401) 783-7009
Fax
(401) 789-3909
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 05238 RI Primary

Addresses

Primary practice location

20 Hampton Way
BLDG #1a
Wakefield, RI 02879-2553

Mailing address

20 Hampton Way Ste 1a
Wakefield, RI 02879-2554
Phone (401) 783-7009

Other identifiers 1

IdentifierTypeStateIssuer
7001853MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111228000319 RI Practitioner - Ophthalmology 8628150562 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
05238RIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Health Associates of Rhode Island Inc Ophthalmology CurrentSince Sep 1, 2015 Accepting new patients
Eye Health Associates of Rhode Island Inc CurrentSince Sep 1, 2015 Accepting new patients
Seacoast Eye Associates Inc Ophthalmology PastSince Jan 1, 2000 Accepting new patients

Locations

51 State Rd
North Dartmouth, MA 02747
Phone (508) 994-1400

73 Valley Rd
Middletown, RI 02842
Phone (401) 289-2170

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1619060480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HAMPTON WAY STE 1A",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028792554",
            "telephone_number": "401-783-7009",
            "fax_number": "401-789-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HAMPTON WAY",
            "address_2": "BLDG #1A",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028792553",
            "telephone_number": "401-783-7009",
            "fax_number": "401-789-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEPMAN",
        "first_name": "BARRY",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "RI",
            "license": "05238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7001853",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

Verify at the official NPI Registry.