Active NPI
Stephen Matthew Wetick, O.D.
- Optometrist
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2821
- Practice address
- 1245 Madison Ave
Memphis, TN 38104-2211 - Phone
- (901) 722-3250
- NPI assigned
- Nov 3, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2821 | TN | Primary |
Addresses
Primary practice location
1245 Madison Ave
Memphis, TN 38104-2211
Mailing address
5350 Poplar Ave
Suite 950
Memphis, TN 38119-3699
Phone (901) 683-4600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8120 US Hwy 51 N
Suite 6
Millington, TN 38053-1702
Phone (901) 872-2020
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.7 of 100
- Quality
- 86.03
- Improvement activities
- 40
- Cost
- 74.63
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2821 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Care Associates of Co LLC | Optometrist | Current | Accepting new patients |
| Eye Specialists Association PC | Current | Accepting new patients | |
| Eye Care Associates of Co LLC | Optometrist | Current | Accepting new patients |
| West Tennessee Eye PLC | Optometrist | Past | Accepting new patients |
Locations
7865 Trinity Rd
Ste 104
Cordova, TN 38018
Phone (901) 753-7100
1900 Kirby Pkwy
Ste 100B
Germantown, TN 38138
Phone (901) 754-0930
4260 Fort Henry Dr
Ste 16
Kingsport, TN 37663
Phone (423) 246-6317
Interoperability endpoints
- drwetick@esg.emadirect.md
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.
-
- Optometrist
- Millington, TN
- NPI 1760516017
-
- Ophthalmology Physician
- Germantown, TN
- NPI 1578772612
-
- Optometrist
- Centennial, CO
- NPI 1124674049
-
- Optometrist
- Creston, IA
- NPI 1548023518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1770736720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5350 POPLAR AVE",
"address_2": "SUITE 950",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381193699",
"telephone_number": "901-683-4600",
"fax_number": "901-683-8401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 MADISON AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381042211",
"telephone_number": "901-722-3250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WETICK",
"first_name": "STEPHEN",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-03",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "2821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.