Wendianne M Wilson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2001 Issued in IA

Practice address

4660 86TH St
Urbandale, IA 50322-1026

Phone

(515) 727-6340

Fax

(515) 727-5109

NPI assigned

Sep 27, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Eyecare Center P CGroup PAC ID 2769451533, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.66 of 100Reported as individual

Quality

73.31

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wendianne.wilson@direct.revolutionehr.com

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.

• Advanced Eyecare Center, PC

  • Optometrist
  • Urbandale, IA
  • NPI 1619145281

  IA, Optometrist

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1679569495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 86TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503221026",
            "telephone_number": "515-727-6340",
            "fax_number": "515-727-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 86TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503221026",
            "telephone_number": "515-727-6340",
            "fax_number": "515-727-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "WENDIANNE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2024-02-26",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "2001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3086538",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hailey Wilcox, PA-C
• Penny S Williams, OD
• Karla Vaquerano Willis, LMSW
• Thomas Wills, LMSW
• Sara Lynn Wilson
• James Joseph Wilwerding, LMHC
• Laura Lynne Winberg, PHARMD
• Kira Wolf, LMHC, IADC
• Abby Womack, LMHC
• Women'S Care Clinic, PLC

• All providers in Urbandale, IA
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.