David Glenn Wheeler, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2015042988 Issued in MO

Practice address

569 Mid Rivers Mall Dr
Saint Peters, MO 63376-2152

Phone

(636) 970-2020

Fax

(636) 397-0833

NPI assigned

Apr 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN, MO2 enrollments

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 2

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.

• Dr. Mark Lynn & Associates, PLLC

  dba Visionworks Doctors of Optometry

  • Optometrist
  • Franklin, TN
  • NPI 1194739490
  Medicare reassignment NPD
• Nu-Crown, LLC

  dba Crown Optical

  • Optometrist
  • Alton, IL
  • NPI 1295737294

  MO

  Medicare reassignment NPD
• Corey Glenn Persons, O.D.

  • Optometrist
  • Jackson, TN
  • NPI 1356498828
  Medicare reassignment
• Nucrown,Inc.

  dba Crown Optical

  • Optometrist
  • Saint Charles, MO
  • NPI 1114337102
  NPD
• Ky Doctors of Optometry, PLLC

  dba Visionworks Drs of Optometry

  • Eyewear Supplier
  • St Matthews, KY
  • NPI 1801610985

  Optometrist

  NPD

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518998400000",
    "number": "1720207178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 MID RIVERS MALL DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762152",
            "telephone_number": "636-970-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 MID RIVERS MALL DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762152",
            "telephone_number": "636-970-2020",
            "fax_number": "636-397-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "DAVID",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2018-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2015042988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "172200015",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720207178",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley E Werle
• Katelyn Wesselmann
• Diana L Westerfield, D.O.
• Western Anesthesiology Associates, Inc.
• Dawn Westrich
• Elizabeth Lee White, CF-SLP
• John S White II, MD
• Laura Ann White, AGNP
• Rachel White
• Keri Whitman

• Optometrist in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2018; 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.

Verify at the official NPI Registry.