Individual provider Active NPI

Wesley E Pittman, OD

  • Optometrist
  • Mexia, TX
National Provider Identifier
1912914417
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3380TG Issued in TX
Practice address
501 E Milam St
Mexia, TX 76667-2331
Phone
(254) 562-3883
Fax
(254) 562-2341
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3380TG TX Primary

Addresses

Primary practice location

501 E Milam St
Mexia, TX 76667-2331

Mailing address

PO Box 590
Mexia, TX 76667-0590
Phone (254) 562-3883

Other identifiers 2

IdentifierTypeStateIssuer
093150303MedicaidTX
P00325271OtherTXRAILROAD MEDICARE

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
I20100224000991 TX Practitioner - Optometry 5597779694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

501 E Milam St
Mexia, TX 76667-2331
Phone (254) 562-3883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3380TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mexia Vision Services PA Optometrist CurrentSince Sep 1, 2003 Accepting new patients

Locations

501 E Milam St
Mexia, TX 76667
Phone (254) 562-3883

Interoperability endpoints

  • Direct secure messaging: drwes@mexiavision.eyefinity-direct.com

Organizations & group practices 1

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1912914417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 590",
            "city": "MEXIA",
            "state": "TX",
            "postal_code": "766670590",
            "telephone_number": "254-562-3883",
            "fax_number": "254-562-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E MILAM ST",
            "city": "MEXIA",
            "state": "TX",
            "postal_code": "766672331",
            "telephone_number": "254-562-3883",
            "fax_number": "254-562-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "WESLEY",
        "middle_name": "E",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3380TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093150303",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00325271",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mexia, TX

Sources for this page

Verify at the official NPI Registry.