Individual provider Active NPI

Alina Paige Wheeler, O.D.

  • Optometrist
National Provider Identifier
1952688129
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003166 Issued in CO
Practice address
Meddac-K-TMC Unit 15609
Apo, AP 96224-5609
Phone
01023417773
NPI assigned
Nov 15, 2011
Last updated
Dec 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.0003166 CO Primary

Addresses

Primary practice location

Meddac-K-TMC Unit 15609
Apo, AP 96224-5609

Mailing address

1030 13TH St
Columbus, GA 31901-2240
Phone (706) 327-3907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201209003108 GA Practitioner - Optometry 7416369780 Reassigns benefits to 1 organization
I20231003002891 CA Practitioner - Optometry 7416369780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silicon Valley Eyecare Optometry and Contact LensesGroup PAC ID 4385735240, 7 clinicians

Practice addresses (Care Compare)

770 Scott Blvd
Santa Clara, CA 95050-6927
Phone (408) 296-0511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.0003166COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Depoe Eye Center PC Optometrist CurrentSince Dec 1, 2020 Accepting new patients
Silicon Valley Eyecare Optometry and Contact Lenses Optometrist CurrentSince Sep 20, 2023 Accepting new patients

Locations

770 Scott Blvd
Santa Clara, CA 95050
Phone (408) 296-0511

1030 13th St
Columbus, GA 31901
Phone (706) 327-3937

300 N Main St
Ste 301
Jonesboro, GA 30236
Phone (770) 603-0063

550 Eagles Landing Pkwy
Ste 208
Stockbridge, GA 30281
Phone (770) 415-8982

Interoperability endpoints

  • Direct secure messaging: alinawheeler@siliconvalleyeyecare.eyeclinicdirect.net

Organizations & group practices 2

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": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1952688129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 13TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012240",
            "telephone_number": "706-327-3907",
            "fax_number": "770-234-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "MEDDAC-K-TMC UNIT 15609",
            "city": "APO",
            "state": "AP",
            "postal_code": "962245609",
            "telephone_number": "01023417773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "ALINA",
        "middle_name": "PAIGE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-15",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.