Thomas Joseph Weshefsky, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1404 Issued in SC

Practice address

3874 Renee Dr
Suite D
Myrtle Beach, SC 29579

Phone

(843) 903-6262

Fax

(843) 903-6228

NPI assigned

Aug 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Pennsylvania College of Optometry, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg South Carolina Professional PCGroup PAC ID 5597129064, 16 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aeg South Carolina Professional PC

  • Optometrist
  • Columbia, SC
  • NPI 1720768427
  Medicare reassignment Care Compare group NPD
• Carolina Forest Family Eyecare, P.a.

  • Optometrist
  • Myrtle Beach, SC
  • NPI 1972621423
  Medicare reassignment NPD Authorized official
• Advanced Vision Care Inc

  • Optometrist
  • Vernon, NJ
  • NPI 1306856323
  NPD (past) Authorized official
• Garita Vision Center, LLC

  • Optometrist
  • North Bergen, NJ
  • NPI 1639246788
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710997242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3874 RENEE DR",
            "address_2": "SUITE D",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29579",
            "telephone_number": "843-903-6262",
            "fax_number": "843-903-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3874 RENEE DR",
            "address_2": "SUITE D",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29579",
            "telephone_number": "843-903-6262",
            "fax_number": "843-903-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESHEFSKY",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA 04767",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler James Welter, MD
• Kenneth Jaan Wenz, MD
• Michael N Wert, RPH
• Scott A Werter, DPM
• Kim P Weselak
• Alison Wessel
• Alana Deja West
• James West, RPH
• Katherine Hood West, ED.S, LMFT
• Sarah Brynn West

• Optometrist in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Optometrist in South Carolina

• 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.
• 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.