Wesley Dobbs Clement Sr., MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

19789 Issued in NC

Practice address

3230 Prosperity Church Rd
Charlotte, NC 28269-0033

Phone

(704) 510-3100

Fax

(704) 503-1954

NPI assigned

Apr 10, 2006

Last updated

Aug 8, 2023By 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 4

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Meharry Medical College School of Medicine, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Carolinas Eye Center PC

  • Ophthalmology Physician
  • Charlotte, NC
  • NPI 1750573945
  Medicare reassignment NPD Authorized official
• Mdfamily Medical Group, PA

  • General Practice Physician
  • Charlotte, NC
  • NPI 1477615474
  NPD (past)

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1851354724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 PROSPERITY CHURCH RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690033",
            "telephone_number": "704-510-3100",
            "fax_number": "704-503-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 PROSPERITY CHURCH RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690033",
            "telephone_number": "704-510-3100",
            "fax_number": "704-503-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENT",
        "first_name": "WESLEY",
        "middle_name": "DOBBS",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "19789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0841475",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8922985",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "22985",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "5300845",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sylvia Cledaras, PTA
• Herbert Clegg II, MD
• Grace Katherine Cleland, MS, RDN, LDN
• Stephanie Clemens, MA, BCBA
• Alexis Marie Clement
• Jonathan D. Clemente, M.D.
• Clementine North Carolina ABA LLC
• Ireonna Baja Clements
• John Carl Clements, M.D.
• Thad Aaron Clements, M.D.

• Ophthalmology Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.