Shad L Wheatley, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001276 Issued in VA

Practice address

843 W Stuart Dr Apt 7
Hillsville, VA 24343-1555

Phone

(276) 728-9323

Fax

(276) 728-0400

NPI assigned

Jan 11, 2006

Last updated

Nov 21, 2012By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

University Alabama Birmingham - School of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care on the Ridge LLCGroup PAC ID 7719157700, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eye Care on the Ridge LLC

  • Optometrist
  • Hillsville, VA
  • NPI 1063704435
  Medicare reassignment Care Compare group NPD Authorized official
• Advanced Hearing Solutions LLC

  • Hearing and Speech Clinic/Center
  • Hillsville, VA
  • NPI 1538701768
  NPD (past)
• Blue Ridge Eye Care Associates PLLC

  • Optometrist
  • Galax, VA
  • NPI 1649206814
  NPD (past)
• Vistar Eye Center, Inc

  • Eyewear Supplier
  • Roanoke, VA
  • NPI 1265128037

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1821077686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 W STUART DR APT 7",
            "city": "HILLSVILLE",
            "state": "VA",
            "postal_code": "243431555",
            "telephone_number": "276-728-9323",
            "fax_number": "276-728-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 W STUART DR APT 7",
            "city": "HILLSVILLE",
            "state": "VA",
            "postal_code": "243431555",
            "telephone_number": "276-728-9323",
            "fax_number": "276-728-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEATLEY",
        "first_name": "SHAD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821077686",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia CVS Pharmacy LLC (CVS Pharmacy # 07308)
• Virginia Highlands Orthopaedic Spine Center, LLC
• Andrea Ward-Wiley, RN
• Webb's Family Pharmacy
• West Stuart Dental Arts Center, P.C.
• Amanda Reeves White, MSW
• Crystal Renay Wiedl
• Tamra Renee Williams, APRN
• Steven Alexander Wood, DDS
• Caroline Rosales Seager Wynne-Roberts, MD

• Optometrist in Hillsville, VA
• Providers in Hillsville, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.