Individual provider Active NPI

Katie Lynn Wicks, O.D.

  • Optometrist
  • Paris, TX
National Provider Identifier
1942588686
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7733T Issued in TX
Practice address
15 East PLZ
Paris, TX 75460-5841
Phone
(903) 784-6649
NPI assigned
Jul 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7733T TX Primary

Addresses

Primary practice location

15 East PLZ
Paris, TX 75460-5841

Mailing address

15 East PLZ
Paris, TX 75460-5841
Phone (903) 784-6649

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
I20111208000517 TX Practitioner - Optometry 1557536299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wicks and Wicks, P.a.Group PAC ID 3971778606, 2 clinicians

Practice addresses (Care Compare)

15 E PLZ
Paris, TX 75460-5841
Phone (903) 784-6649

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7733TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wicks and Wicks, P.a. Optometrist CurrentSince Sep 25, 2011 Accepting new patients

Locations

15 East Plz
Paris, TX 75460
Phone (903) 784-6649

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": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311897600000",
    "number": "1942588686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 EAST PLZ",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754605841",
            "telephone_number": "903-784-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 EAST PLZ",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754605841",
            "telephone_number": "903-784-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKS",
        "first_name": "KATIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-29",
        "last_updated": "2011-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7733T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.