Active NPI
Wendell Slone, DO
- Optician
- Palm Beach Gardens, FL
National Provider Identifier
1679798128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DO4347
- Practice address
- 4530 Pga Blvd
Suite #105
Palm Beach Gardens, FL 33418-3912 - Phone
- (561) 622-1388
- Fax
- (561) 622-2408
- NPI assigned
- Apr 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | DO4347 | FL | Primary |
Addresses
Primary practice location
4530 Pga Blvd
Suite #105
Palm Beach Gardens, FL 33418-3912
Mailing address
4530 Pga Blvd
Suite #105
Palm Beach Gardens, FL 33418-3912
Phone (561) 622-1388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO4347 | FL | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M & C Optics LLC | Optician | Past | Accepting new patients |
| Dominick a Marino OD PA | Past | 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.
-
- Optometrist
- Palm Beach Gardens, FL
- NPI 1629212006
-
- Optician
- Palm Beach Gardens, FL
- NPI 1942478557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679798128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4530 PGA BLVD",
"address_2": "SUITE #105",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334183912",
"telephone_number": "561-622-1388",
"fax_number": "561-622-2408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4530 PGA BLVD",
"address_2": "SUITE #105",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334183912",
"telephone_number": "561-622-1388",
"fax_number": "561-622-2408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLONE",
"first_name": "WENDELL",
"name_prefix": "Mr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "DO4347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.