Individual provider Active NPI

Micheal T Wingard, OD

  • Optometrist
  • Harlingen, TX
National Provider Identifier
1932105020
Registry record updated Dec 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
04727TG Issued in TX
Practice address
1205 N Ed Carey Dr
Harlingen, TX 78550-9207
Phone
(956) 423-2100
Fax
(956) 682-6280
NPI assigned
Jun 22, 2005
Last updated
Dec 29, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 04727TG TX Primary

Addresses

Primary practice location

1205 N Ed Carey Dr
Harlingen, TX 78550-9207

Mailing address

PO Box 531848
Harlingen, TX 78553-1848
Phone (956) 423-2100

Other identifiers 1

IdentifierTypeStateIssuer
037395303MedicaidTX

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
I20040614000174 TX Practitioner - Optometry 9931183530 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04727TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Scott L Helgeson OD PLLC Optometrist CurrentSince Oct 25, 2019 Accepting new patients
Aeg Texas Professional PLLC Optometrist Past Accepting new patients
Valley Eye Center PA Optometrist Past Accepting new patients
William Justus Head MD PA Past Accepting new patients

Locations

2200 S 10th St
Ste B6
McAllen, TX 78503
Phone (956) 682-4428

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, 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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293580800000",
    "number": "1932105020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531848",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785531848",
            "telephone_number": "956-423-2100",
            "fax_number": "956-682-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N ED CAREY DR",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785509207",
            "telephone_number": "956-423-2100",
            "fax_number": "956-682-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGARD",
        "first_name": "MICHEAL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2010-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "04727TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037395303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.