Dr Wes Wheadon Optometrist, a Professional Corporation

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

0005481TLG Issued in CA

Legal business name

DR WES WHEADON OPTOMETRIST, A PROFESSIONAL CORPORATION

Practice address

8240 Santa Monica Blvd
West Hollywood, CA 90046-5916

Phone

(323) 654-5600

Fax

(323) 654-5614

NPI assigned

Jun 18, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Donald W. Wheadon, ODNPI 1205825270

Title

President

Phone

(323) 654-5600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donald W. Wheadon, O.D.

  • Optometrist
  • West Hollywood, CA
  • NPI 1205825270
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1851730451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8240 SANTA MONICA BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465916",
            "telephone_number": "323-654-5600",
            "fax_number": "323-654-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8240 SANTA MONICA BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465916",
            "telephone_number": "323-654-5600",
            "fax_number": "323-654-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR WES WHEADON OPTOMETRIST, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "WHEADON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-654-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "0005481TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Dow, M.S.
• Kenneth Dowling, PHD
• Nancy Downey, LMFT
• Emily Downing-Mahli, NP
• Elizabeth Doyle
• Dr. a Rutwind Professional Corporation
• Dr. John Liddy, DC
• Dr. Ray Dong PC
• Dr. Tawny Richards, DDS, Inc.
• Irina Dralyuk, MD

• Corneal and Contact Management Optometrist in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Corneal and Contact Management Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.