Well-Edge Vision

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

WELL-EDGE VISION

Practice address

17134 Bulverde Rd Ste 107
San Antonio, TX 78247-2190

Phone

(210) 267-2686

Fax

(210) 267-2216

NPI assigned

May 27, 2022

Organization subpart

No

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

Authorized official

Name

Kenney Wells, ODNPI 1851379739

Title

Optometrist

Phone

(210) 267-2686

Specialties & licenses 1

Addresses

Other names 1

• Pearle Vision Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

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.

• James B Elledge, OD, MBA, FAAO

  • Optometrist
  • San Antonio, TX
  • NPI 1710993241
  Medicare reassignment Care Compare group NPD
• Kenney Harold Wells, OD

  • Optometrist
  • San Antonio, TX
  • NPI 1851379739
  Medicare reassignment Authorized official
• Nancy Marie Wells, O.D.

  • Optometrist
  • San Antonio, TX
  • NPI 1366682882
  Medicare reassignment Care Compare group
• Lorena Isabel Gonzalez, OD

  • Optometrist
  • San Antonio, TX
  • NPI 1811862048
  Medicare reassignment NPD

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1619616778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17134 BULVERDE RD STE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782472190",
            "telephone_number": "210-267-2686",
            "fax_number": "210-267-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17134 BULVERDE RD STE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782472190",
            "telephone_number": "210-267-2686",
            "fax_number": "210-267-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL-EDGE VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-27",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "KENNEY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "210-267-2686",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dawn Elizabeth Welk, RN, PNP
• Well and Good Therapy, PLLC
• Well Care Home LLC
• Well Health Labs Sa LLC
• Well Therapy PLLC
• Wellfit Personal Training & Post Rehab
• Armistead Landon Wellford, M.D.
• Louanne Wellford, MD
• Evan Welliver
• Kassaundra Wellman

• Optometrist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.