Wesley Bailes, LDO

Primary specialty

OpticianTaxonomy code 156FX1800X

License

LDO-003427 Issued in AZ

Practice address

5695 Highway 95 N
Lake Havasu City, AZ 86404-9646

Phone

(928) 764-3755

NPI assigned

Apr 7, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1649064338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 LOST DUTCHMAN DR UNIT A",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864066825",
            "telephone_number": "928-486-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5695 HIGHWAY 95 N",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864049646",
            "telephone_number": "928-764-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILES",
        "first_name": "WESLEY",
        "credential": "LDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "AZ",
            "license": "LDO-003427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chelsea Bailey, MS OTR/L
• Toni Bailey, HIS
• Leigh Cortny Baker, BSN, RN
• Amanda Banks, LMFT
• Michael Barber, MS, APRN, CRNA

• Optician in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Optician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.