Active NPI
Wesley Thomas Mayes, O.D.
- Optometrist
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 4224
- Practice address
- 9050 University Pkwy
Pensacola, FL 32514-5524 - Phone
- (850) 266-7500
- NPI assigned
- Aug 13, 2007
- Last updated
- Jun 5, 2019
- Sex
- Male
- Sole proprietor
- No
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 | OPC 4224 | FL | Primary |
Addresses
Primary practice location
9050 University Pkwy
Pensacola, FL 32514-5524
Mailing address
9050 University Pkwy
Pensacola, FL 32514-5524
Phone (850) 266-7500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36139 | Other | FL | BLUE CROSS AND BLUE SHIELD OF FLORIDA |
| 2799677 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- University Alabama Birmingham - School of Optometry, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9050 University Pkwy
Pensacola, FL 32514-5524
Phone (850) 266-7500
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 4224 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Ophthalmic Affiliates, PA | Current | Accepting new patients | |
| Magruder Eye Institute, PLLC | Current | Accepting new patients | |
| Eye Care Physicians Inc | Past | Accepting new patients |
Locations
182 E Redstone Ave
Ste A
Crestview, FL 32539
Phone (850) 266-7500
1300 Shoreline Dr
Ste 104
Gulf Breeze, FL 32561
Phone (850) 932-8774
1911 N Mills Ave
Orlando, FL 32803
Phone (407) 893-8200
9050 University Pkwy
Pensacola, FL 32514
Phone (850) 266-7500
Networks
- Freedom Health HMO Network
Organizations & group practices 3
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.
-
dba Advanced Eye Care
- Ophthalmology Physician
- Orlando, FL
- NPI 1881661692
-
- Ophthalmology Physician
- Gulf Breeze, FL
- NPI 1689921389
-
dba Panhandle Vision INSTITUTE
- Ophthalmology Physician
- Pensacola, FL
- NPI 1942295514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559692800000",
"number": "1780876862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9050 UNIVERSITY PKWY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325145524",
"telephone_number": "850-266-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9050 UNIVERSITY PKWY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325145524",
"telephone_number": "850-266-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYES",
"first_name": "WESLEY",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-13",
"last_updated": "2019-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 4224",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIELD OF FLORIDA",
"identifier": "36139",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2799677",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.