Individual provider Active NPI

Paul M Wehner, OD

  • Optometrist
  • Junction City, OR
National Provider Identifier
1912034208
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2742ATI Issued in OR
Practice address
707 Greenwood St
Junction City, OR 97448-1627
Phone
(541) 998-6454
Fax
(541) 998-3876
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2742ATI OR Primary

Addresses

Primary practice location

707 Greenwood St
Junction City, OR 97448-1627

Mailing address

707 Greenwood St
Junction City, OR 97448-1627
Phone (541) 998-6454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20080702000608 OR Practitioner - Optometry 2567534720 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2742ATIORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Accent Inc. Optometrist CurrentSince Jan 1, 2016 Accepting new patients
Vision Accent Inc. Optometrist CurrentSince Jan 1, 2016 Accepting new patients
Cornell Eyecare Group, Inc Optometrist PastSince Sep 4, 2018 Accepting new patients

Locations

1981 NW 185th Ave
Hillsboro, OR 97124
Phone (503) 690-9200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1912034208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 GREENWOOD ST",
            "city": "JUNCTION CITY",
            "state": "OR",
            "postal_code": "974481627",
            "telephone_number": "541-998-6454",
            "fax_number": "541-998-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 GREENWOOD ST",
            "city": "JUNCTION CITY",
            "state": "OR",
            "postal_code": "974481627",
            "telephone_number": "541-998-6454",
            "fax_number": "541-998-3876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEHNER",
        "first_name": "PAUL",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2742ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Junction City, OR

Sources for this page

Verify at the official NPI Registry.