Individual provider Active NPI

Audrey J Wells, O.D.

  • Optometrist
  • Russellville, KY
National Provider Identifier
1619866100
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2442DT Issued in KY
Practice address
105 Robins Way Ste 206
Russellville, KY 42276-1129
Phone
(270) 726-2022
Fax
(270) 726-2035
NPI assigned
Jun 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2442DT KY Primary

Addresses

Primary practice location

105 Robins Way Ste 206
Russellville, KY 42276-1129

Mailing address

105 Robins Way Ste 206
Russellville, KY 42276-1129
Phone (270) 726-2022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20250808000158 KY Practitioner - Optometry 0749795888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wells Eye Center IncGroup PAC ID 1759436512, 2 clinicians

Practice addresses (Care Compare)

105 Robins Way
Suite 206
Russellville, KY 42276-1129
Phone (270) 726-2022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2442DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wells Eye Center Inc Optometrist CurrentSince Jul 29, 2025 Accepting new patients
Logan County Eye Associates Optometrist PastSince Jul 9, 2025 Accepting new patients

Locations

105 Robins Way
Ste 206
Russellville, KY 42276
Phone (270) 726-2022

Organizations & group practices 2

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": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1619866100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ROBINS WAY STE 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 STE 206",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422761129",
            "telephone_number": "270-726-2022",
            "fax_number": "270-726-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "AUDREY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2442DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, KY

Sources for this page

Verify at the official NPI Registry.