Daniel James Wiessner, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD60497198 Issued in WA

Practice address

614 E Alder St
Ste 1
Walla Walla, WA 99362-2073

Phone

(509) 529-9660

NPI assigned

Nov 14, 2011

Last updated

Sep 15, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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 1

Specialty

Optometry

Education

Pacific University - College of Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vision Source Walla Walla PLLCGroup PAC ID 0143752576, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: drdanny@vs-walla-walla.direct.kno2fy.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vision Source Walla Walla PLLC

  • Optometrist
  • Walla Walla, WA
  • NPI 1245077080
  Medicare reassignment Care Compare group Authorized official
• Paradocs, Inc. PS

  dba Blue Mountain Vision Clinic

  • Optometrist
  • Walla Walla, WA
  • NPI 1891999173
  NPD (past)

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410739200000",
    "number": "1770860165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 E ALDER ST",
            "address_2": "STE 1",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622073",
            "telephone_number": "509-529-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 E ALDER ST",
            "address_2": "STE 1",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622073",
            "telephone_number": "509-529-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESSNER",
        "first_name": "DANIEL",
        "middle_name": "JAMES",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-14",
        "last_updated": "2014-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60497198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitman College Health Center
• Arlene Lavonne Whitney, LCSW, MPH/MSW
• Richard Wick, M.D.
• Joshua Wicks, PA
• Teresa Wiedemann, LICSW
• Harry Walter Wiessner, O.D.
• Michael J Wilcox, M.D.
• Kyle B Wiley, PT, DPT, ATC
• Katie Wilkinson, LMHCA
• Kirk Ellsworth Willard, MD

• Optometrist in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.

Verify at the official NPI Registry.