Wells Eye Center Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

1770DT Issued in KY

Legal business name

WELLS EYE CENTER INC

Doing business as

Logan Eye Care Center

Practice address

105 Robins Way
Suite 206
Russellville, KY 42276-1129

Phone

(270) 726-2022

NPI assigned

Aug 17, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Thad Dustin Wells, O.D.NPI 1467681395

Title

Optometrists/Owner

Phone

(270) 726-2022

Specialties & licenses 1

Addresses

Other names 1

• Logan Eye Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 4

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

• Thad Dustin Wells, OD

  • Optometrist
  • Russellville, KY
  • NPI 1467681395
  Medicare reassignment Care Compare group NPD Authorized official
• Audrey J Wells, O.D.

  • Optometrist
  • Russellville, KY
  • NPI 1619866100
  Medicare reassignment Care Compare group NPD
• Martin J Jensen, O.D.

  • Optometrist
  • Russellville, KY
  • NPI 1588610372
  NPD (past)
• Amber McIntosh, O.D.

  • Optometrist
  • Denver, CO
  • NPI 1043266323
  NPD (past)

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1619109147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ROBINS WAY",
            "address_2": "SUITE 206",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422761129",
            "telephone_number": "270-726-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ROBINS WAY",
            "address_2": "SUITE 206",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422761129",
            "telephone_number": "270-726-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLS EYE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-17",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "THAD",
        "authorized_official_middle_name": "DUSTIN",
        "authorized_official_title_or_position": "OPTOMETRISTS/OWNER",
        "authorized_official_telephone_number": "270-726-2022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1770DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Logan Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wal-Mart Stores East, LP
• Walgreen Co.
• Bill D. Webb, O.D.
• Amy J. Webster, APRN
• Krista Hinton Webster, P.T.
• Audrey J Wells, O.D.
• Thad Dustin Wells, OD
• Katelyn Wentworth
• Susan Diane West, PHARMD
• Western Kentucky Chiropractic Center

• Optometrist in Russellville, KY
• Providers in Russellville, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.