Wesley Simmons

Primary specialty

OptometristTaxonomy code 152W00000X

License

2340DT Issued in KY

Practice address

25 Sterling Way Ste C
Mount Sterling, KY 40353-1174

Phone

(859) 498-4800

NPI assigned

Jul 11, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Pennsylvania College of Optometry, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bluegrass Vision Group PLLCGroup PAC ID 8022385848, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bluegrass Vision Group PLLC

  • Optometrist
  • Mt Sterling, KY
  • NPI 1073060224
  Medicare reassignment Care Compare group NPD
• HH-Ecc LLC

  • Ophthalmology Physician
  • Richmond, KY
  • NPI 1932693041
  Medicare reassignment NPD

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1811675580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3561 CAMERON HILLS PL",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302941475",
            "telephone_number": "404-394-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 STERLING WAY STE C",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403531174",
            "telephone_number": "859-498-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "WESLEY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2340DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100921180",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jana A Shepherd, DPT
• Courtney Nicole Shields, LCADC, LCSW
• Michael Shoopman, PSS
• Alan Dee Shultz, MD
• William Shultz, DO
• Robin Mantooth Simpson, OTR/L
• Aleece Skogsbergh
• Benjamin T Small, CRNA
• Holly Geneva Smallwood
• Jason R Smallwood, LPCA

• Optometrist in Mt Sterling, KY
• Providers in Mt Sterling, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.