Organization Active NPI

Wilkinson and Shaffer PC

Doing business as Total Family Eyecare

  • Optometrist
  • Sweetwater, TX
National Provider Identifier
1720268287
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6473TG Issued in TX
Legal business name
WILKINSON AND SHAFFER PC
Doing business as
Total Family Eyecare
Practice address
1406 Hailey St
Sweetwater, TX 79556-2508
Phone
(325) 235-2624
Fax
(325) 235-8326
NPI assigned
Nov 13, 2007
Last updated
Jul 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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

Authorized official

Name
Dr. Cody Joe Wilkinson, O.D.NPI 1326020322
Title
President
Phone
(325) 235-2624

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6473TG TX Primary

Addresses

Primary practice location

1406 Hailey St
Sweetwater, TX 79556-2508

Mailing address

1406 Hailey St
Sweetwater, TX 79556-2508
Phone (325) 235-2624

Other names 1

  • Total Family Eyecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050216000496 TX Part B Supplier - Clinic/Group Practice 0547212763 Receives reassigned benefits from 1 practitioner
Practice locations: Sweetwater, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372723200000",
    "number": "1720268287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 HAILEY ST",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795562508",
            "telephone_number": "325-235-2624",
            "fax_number": "325-235-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 HAILEY ST",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795562508",
            "telephone_number": "325-235-2624",
            "fax_number": "325-235-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKINSON AND SHAFFER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2013-07-02",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "CODY",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "325-235-2624",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6473TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sweetwater, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.