Individual provider Active NPI

Justin C Wehr, OD

  • Optometrist
  • Cambridge, OH
National Provider Identifier
1891975975
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5080T1957 Issued in OH
Practice address
1225 Southgate Pkwy
Cambridge, OH 43725-2944
Phone
(740) 432-3384
Fax
(740) 439-0101
NPI assigned
Nov 6, 2007
Last updated
Nov 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5080T1957 OH Primary

Addresses

Primary practice location

1225 Southgate Pkwy
Cambridge, OH 43725-2944

Mailing address

1225 Southgate Pkwy
Cambridge, OH 43725-2944
Phone (740) 432-3384

Other identifiers 1

IdentifierTypeStateIssuer
2188074MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050120000040 OH Practitioner - Optometry 7810945516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1225 Southgate Pkwy
Cambridge, OH 43725-2944
Phone (740) 432-3384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5080OHMDPsychologist
5080T1957OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Justin C Wehr OD Inc Optometrist CurrentSince Jan 1, 2005 Accepting new patients
Wilson Optical & Hearing Centre, Inc. Past Accepting new patients
Lookingglass Eyecare Professionals, LLC Optometrist Past Accepting new patients

Locations

1225 Southgate Pkwy
Cambridge, OH 43725
Phone (740) 432-3384

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1891975975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 SOUTHGATE PKWY",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437252944",
            "telephone_number": "740-432-3384",
            "fax_number": "740-439-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 SOUTHGATE PKWY",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437252944",
            "telephone_number": "740-432-3384",
            "fax_number": "740-439-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEHR",
        "first_name": "JUSTIN",
        "middle_name": "C",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5080T1957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2188074",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, OH

Sources for this page

Verify at the official NPI Registry.