Individual provider Active NPI

Carla A Wendler, OD

  • Optometrist
  • Las Cruces, NM
National Provider Identifier
1801993555
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
668 Issued in NM
Practice address
2448 Missouri Ave
Las Cruces, NM 88001-5109
Phone
(575) 523-2020
NPI assigned
Sep 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2992 MN
Optometrist 152W00000X 668 NM Primary

Addresses

Primary practice location

2448 Missouri Ave
Las Cruces, NM 88001-5109

Mailing address

2448 Missouri Ave
Las Cruces, NM 88001-5109
Phone (575) 521-1050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141110000332 NM Practitioner - Optometry 8224077573 Reassigns benefits to 1 organization
I20210623000531 TX Practitioner - Optometry 8224077573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2448 Missouri Ave
Las Cruces, NM 88001-5109
Phone (575) 521-1050

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2437COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Marc Ellman, M.D., P.a. CurrentSince Mar 10, 2021 Accepting new patients
Vista Eye Care LLC Optometrist CurrentSince Oct 28, 2021 Accepting new patients
Visionworks Inc Past Accepting new patients

Locations

4800 N 22nd St
Phoenix, AZ 85016
Phone (602) 508-4843

2448 Missouri Ave
Las Cruces, NM 88001
Phone (505) 521-1050

1400 Common Dr
El Paso, TX 79936
Phone (915) 267-2020

9235 Dyer St
El Paso, TX 79924
Phone (915) 267-2020

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.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1801993555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 MISSOURI AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015109",
            "telephone_number": "575-521-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 MISSOURI AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015109",
            "telephone_number": "575-523-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDLER",
        "first_name": "CARLA",
        "middle_name": "A",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2992",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.