Active NPI
Wesley E Pittman, OD
- Optometrist
- Mexia, TX
National Provider Identifier
1912914417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3380TG
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 093150303 | Medicaid | TX | |
| P00325271 | Other | TX | RAILROAD 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3380 | TX | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mexia Vision Services PA | Optometrist | Current | Accepting new patients |
Locations
501 E Milam St
Mexia, TX 76667
Phone (254) 562-3883
Interoperability endpoints
- 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.
-
- Optometrist
- Mexia, TX
- NPI 1427068824
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.