Individual provider Active NPI

Douglas M Wike, OD

  • Optometrist
  • Allen, TX
National Provider Identifier
1881883338
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5285TG Issued in TX
Practice address
2023 W McDermott Dr Ste 290
Allen, TX 75013-4678
Phone
(972) 649-4441
NPI assigned
Oct 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5285TG TX Primary

Addresses

Primary practice location

2023 W McDermott Dr Ste 290
Allen, TX 75013-4678

Mailing address

2023 W McDermott Dr Ste 290
Allen, TX 75013-4678
Phone (972) 649-4441

Other practice location 1

5900 S Lake Forest Dr Ste 300
McKinney, TX 75070-2238
Phone (214) 363-5991

Other identifiers 2

IdentifierTypeStateIssuer
P00274868OtherTXMEDICARE RAILROAD PTAN
019228802MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080128000314 TX Practitioner - Optometry 3971539610 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
D Vision Eyecare PLLCGroup PAC ID 6709186752, 2 clinicians
Eye Care and Vision Associates LLCGroup PAC ID 9830520311, 2 clinicians

Practice addresses (Care Compare)

2023 W McDermott Dr
Suite 290
Allen, TX 75013-4678
Phone (972) 649-4441

401 W Main St
Allen, TX 75013-2713
Phone (214) 363-5991

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
5285TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
D Vision Eyecare PLLC Optometrist CurrentSince Sep 5, 2023 Accepting new patients
Mobile Vision Care, Inc. Optometrist CurrentSince Oct 1, 2000 Accepting new patients
Eye Care and Vision Associates LLC Optometrist CurrentSince Mar 1, 2021 Accepting new patients
Geriatric Health Services Optometrist Past Accepting new patients

Locations

2023 W McDermott Dr
Ste 290
Allen, TX 75013
Phone (972) 649-4441

401 W Main St
Allen, TX 75013
Phone (214) 363-5991

2601 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 274-5571

4600 Greenville Ave
Ste 292
Dallas, TX 75206
Phone (214) 363-5991

5521 Greenville Ave
Ste 104
Dallas, TX 75206
Phone (214) 363-5991

5900 S Lake Forest Dr
Ste 300
McKinney, TX 75070
Phone (214) 363-5991

Organizations & group practices 4

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": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1881883338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 W MCDERMOTT DR STE 290",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134678",
            "telephone_number": "972-649-4441",
            "fax_number": "972-649-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 W MCDERMOTT DR STE 290",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134678",
            "telephone_number": "972-649-4441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 S Lake Forest Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750702238",
            "country_code": "US",
            "telephone_number": "214-363-5991",
            "fax_number": "866-573-0828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIKE",
        "first_name": "DOUGLAS",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-22",
        "last_updated": "2023-12-07",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5285TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PTAN",
            "identifier": "P00274868",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019228802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.