Individual provider Active NPI

Mark Kilby Wells, OD

  • Optometrist
  • Morrisville, NC
National Provider Identifier
1710491444
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2502 Issued in NC
Practice address
598 Airport Blvd Ste 700
Morrisville, NC 27560-7205
Phone
(910) 587-8412
NPI assigned
Nov 16, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2502 NC Primary

Addresses

Primary practice location

598 Airport Blvd Ste 700
Morrisville, NC 27560-7205

Mailing address

598 Airport Blvd Ste 700
Morrisville, NC 27560-7205
Phone (910) 587-8412

Other practice location 1

200 W Academy St
Randleman, NC 27317-1504
Phone (336) 495-3937

Other practice location 2

1300 Eastchester Dr
High Point, NC 27265-2349
Phone (336) 884-3937

Other practice location 3

500 W 4th St
Winston Salem, NC 27101-2782
Phone (336) 837-3937

Other practice location 4

3443 Burke Mill Rd Ste C1B
Winston Salem, NC 27103-5501
Phone (336) 331-0231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20180327000231 NC Practitioner - Optometry 7618239906 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecarecenter OD PAGroup PAC ID 7315834462, 71 clinicians

Practice addresses (Care Compare)

200 W Academy St
Randleman, NC 27317-1504
Phone (336) 495-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecarecenter OD PA Optometrist Current Accepting new patients
Clark Optometric Center PA Optometrist CurrentSince Dec 30, 2017 Accepting new patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince Mar 17, 2024 Accepting new patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince Mar 17, 2024 Accepting new patients
Eyecarecenter OD PA Optometrist Past Accepting new patients
C.V. Sikes,Jr. & R.B. Gotschalk PTR Optometrist Past Accepting new patients
Eyecarecenter OD PA Optometrist Past Accepting new patients

Locations

1103 Pine Plaza Dr
Apex, NC 27523
Phone (919) 367-8411

2216 E NC Highway 54
Durham, NC 27713
Phone (919) 544-2020

1300 Eastchester Dr
High Point, NC 27265
Phone (336) 884-3937

320 S Churton St
Hillsborough, NC 27278
Phone (919) 732-5000

598 Airport Blvd
Ste 700
Morrisville, NC 27560
Phone (910) 587-8412

200 Perimeter Park Dr
Ste D
Morrisville, NC 27560
Phone (910) 893-4141

200 W Academy St
Randleman, NC 27317
Phone (336) 337-1298

819 Tiffany Blvd
Rocky Mount, NC 27804
Phone (252) 972-2020

1829 Doctors Dr
Sanford, NC 27330
Phone (919) 776-2032

3001 Raleigh Rd W
Wilson, NC 27896
Phone (252) 291-0767

3443 Burke Mill Rd
Ste C1B
Winston Salem, NC 27103
Phone (336) 331-0231

3443 Burke Mill Rd
Winston Salem, NC 27103
Phone (336) 331-0231

500 W 4th St
Ste 102
Winston Salem, NC 27101
Phone (336) 837-3937

Interoperability endpoints

  • Direct secure messaging: markwells@direct.eyecare-partners.com

Organizations & group practices 7

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": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1710491444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 AIRPORT BLVD STE 700",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275607205",
            "telephone_number": "910-587-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 AIRPORT BLVD STE 700",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275607205",
            "telephone_number": "910-587-8412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W Academy St",
            "address_purpose": "LOCATION",
            "city": "Randleman",
            "state": "NC",
            "postal_code": "273171504",
            "country_code": "US",
            "telephone_number": "336-495-3937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Eastchester Dr",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272652349",
            "country_code": "US",
            "telephone_number": "336-884-3937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271012782",
            "country_code": "US",
            "telephone_number": "336-837-3937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3443 Burke Mill Rd Ste C1B",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271035501",
            "country_code": "US",
            "telephone_number": "336-331-0231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "MARK",
        "middle_name": "KILBY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-16",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, NC

Sources for this page

Verify at the official NPI Registry.