Active NPI
Michael Aaron Wheeler, O.D.
- Low Vision Rehabilitation Optometrist
- Mountain Home, AR
National Provider Identifier
1720135015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Rehabilitation Optometrist
- License
- 2558
- Practice address
- 360 Highway 5 N
Mountain Home, AR 72653-3039 - Phone
- (870) 425-2277
- Fax
- (870) 425-2021
- NPI assigned
- Jan 5, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Low Vision Rehabilitation Optometrist | 152WL0500X | 2558 | AR | Primary |
| Low Vision Rehabilitation Optometrist | 152WL0500X | 2005020771 | MO |
Addresses
Primary practice location
360 Highway 5 N
Mountain Home, AR 72653-3039
Mailing address
102 Spring St
Melbourne, AR 72556-9241
Phone (870) 368-7921
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 159563722 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Ozark Eye Center, PA | Low Vision Rehabilitation | Past | Accepting new patients |
| Roger Totten OD PA | Past | Accepting new patients |
Locations
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
- Ophthalmology Physician
- Mountain Home, AR
- NPI 1770624611
Low Vision Rehabilitation
-
- Optometrist
- Melbourne, AR
- NPI 1932397858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436227200000",
"number": "1720135015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 SPRING ST",
"city": "MELBOURNE",
"state": "AR",
"postal_code": "725569241",
"telephone_number": "870-368-7921",
"fax_number": "870-368-7789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 HIGHWAY 5 N",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726533039",
"telephone_number": "870-425-2277",
"fax_number": "870-425-2021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "MICHAEL",
"middle_name": "AARON",
"name_prefix": "Mr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2015-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "AR",
"license": "2558",
"primary": true
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "MO",
"license": "2005020771",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "159563722",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mountain Home, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.