Individual provider Active NPI

Cheree Wilhelmsen, OD

  • Optometrist
  • Bakersfield, CA
National Provider Identifier
1659489102
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SD010443 Issued in CA
Practice address
4903 Calloway Dr Ste 101
Bakersfield, CA 93312-9711
Phone
(661) 213-3310
Fax
(661) 213-3315
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X SD010443 CA Primary

Addresses

Primary practice location

4903 Calloway Dr Ste 101
Bakersfield, CA 93312-9711

Mailing address

4903 Calloway Dr Ste 101
Bakersfield, CA 93312-9711
Phone (661) 213-3310

Other practice location 1

4649 Planz Rd
Bakersfield, CA 93309-5900
Phone (661) 833-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20130226000427 CA Practitioner - Optometry 1759536659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4903 Calloway Dr
Suite 101
Bakersfield, CA 93312-9711
Phone (661) 213-3310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SD010443CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Eye Care Optometric Center, Inc Optometrist PastSince Jan 1, 2017 Accepting new patients

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1659489102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4903 CALLOWAY DR STE 101",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933129711",
            "telephone_number": "661-213-3310",
            "fax_number": "661-213-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4903 CALLOWAY DR STE 101",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933129711",
            "telephone_number": "661-213-3310",
            "fax_number": "661-213-3315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4649 Planz Rd",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933095900",
            "country_code": "US",
            "telephone_number": "661-833-4040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILHELMSEN",
        "first_name": "CHEREE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "SD010443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.