David Jackson Wayland Sr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT001624 Issued in GA

Practice address

3975 Old Milton Pkwy
Ste2
Alpharetta, GA 30005-4467

Phone

(678) 624-7766

Fax

(678) 624-7775

NPI assigned

Oct 18, 2006

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 GA

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

Southern California College of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shipley and Wayland Eyecare, LLCGroup PAC ID 0446689582, 2 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.

• Shipley & Wayland Eyecare LLC

  • Optometrist
  • Canton, GA
  • NPI 1437791076
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Georgia, LLC

  dba MyEyeDr.

  • Optometrist
  • Rincon, GA
  • NPI 1437294592
  Medicare reassignment NPD
• Myeyedr Optometry of Georgia LLC

  dba MyEyeDr

  • Optometrist
  • Warner Robins, GA
  • NPI 1831504406
  NPD
• Myeyedr Optometry of Georgia, LLC

  dba MyEyeDr.

  • Optometrist
  • Tyrone, GA
  • NPI 1275326571
  NPD

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1871674622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD",
            "address_2": "STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "703-991-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 OLD MILTON PKWY",
            "address_2": "STE2",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054467",
            "telephone_number": "678-624-7766",
            "fax_number": "678-624-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYLAND",
        "first_name": "DAVID",
        "middle_name": "JACKSON",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00919322A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin L Watkins, P.A.
• Renee Watson
• Richard Arville Watson, D.C.
• Stacy Ekmark Watson, LCSW
• Lisa Kristof Watterson, R.D.
• Martha A Wdowicki, PHARMD
• Erin Weatherford
• Allison Nicole Weaver, PMHNP
• Suzanne Davis Webb, WHNP-BC
• Marjorie E Weber, PA

• Optometrist in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.