Individual provider Active NPI

Mark Wesoloski II, O.D.

  • Optometrist
  • Pittsboro, NC
National Provider Identifier
1831448364
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2306 Issued in NC
Practice address
35 Suttles Rd Ste 140
Pittsboro, NC 27312-5531
Phone
(919) 542-8439
NPI assigned
Aug 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2306 NC Primary

Addresses

Primary practice location

35 Suttles Rd Ste 140
Pittsboro, NC 27312-5531

Mailing address

35 Suttles Rd Ste 140
Pittsboro, NC 27312-5531
Phone (919) 542-8439

Other practice location 1

8811 Blakeney Professional Dr
Suite 100
Charlotte, NC 28277-6598
Phone (704) 926-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20121201000006 NC Practitioner - Optometry 0244482099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

35 Suttles Rd
Suite 140
Pittsboro, NC 27312-5531
Phone (919) 542-8439

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2306NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
New View Eyecare, OD, PLLC Optometrist CurrentSince Mar 15, 2018 Accepting new patients

Locations

35 Suttles Rd
Ste 140
Pittsboro, NC 27312
Phone (919) 542-8439

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1831448364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SUTTLES RD STE 140",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273125531",
            "telephone_number": "919-542-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 SUTTLES RD STE 140",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273125531",
            "telephone_number": "919-542-8439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8811 Blakeney Professional Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282776598",
            "country_code": "US",
            "telephone_number": "704-926-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESOLOSKI",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-30",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsboro, NC

Sources for this page

Verify at the official NPI Registry.