Elissa R Wedemeyer OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4167TG Issued in TX

Legal business name

ELISSA R WEDEMEYER OD PLLC

Practice address

6026 Highway 6
Missouri City, TX 77459-4163

Phone

(281) 499-2600

Fax

(281) 499-6556

NPI assigned

Feb 15, 2013

Organization subpart

No

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

Authorized official

Name

Elissa R. Wedemeyer, OD

Title

Owner/OD

Phone

(281) 499-2600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1740520568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6026 HIGHWAY 6",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594163",
            "telephone_number": "281-499-2600",
            "fax_number": "281-499-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6026 HIGHWAY 6",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594163",
            "telephone_number": "281-499-2600",
            "fax_number": "281-499-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISSA R WEDEMEYER OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-15",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "WEDEMEYER",
        "authorized_official_first_name": "ELISSA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER/OD",
        "authorized_official_telephone_number": "281-499-2600",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4167TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.