Benjamin Theodore Wadas, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

009143 Issued in NY

Practice address

38 Roosevelt Dr
Whitesboro, NY 13492-1550

Phone

(315) 736-3217

NPI assigned

Jun 19, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Optometry

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wadas Optometric Group, PCGroup PAC ID 0042546368, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Wadas Optometric Group, PC

  • Optometrist
  • Barneveld, NY
  • NPI 1598224271
  Medicare reassignment Care Compare group NPD
• Theodore J. Wadas,OD,PC

  • Optometrist
  • New York Mills, NY
  • NPI 1821231366
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1992321574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8430 POSEY HILL RD",
            "city": "HOLLAND PATENT",
            "state": "NY",
            "postal_code": "133544725",
            "telephone_number": "315-368-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 ROOSEVELT DR",
            "city": "WHITESBORO",
            "state": "NY",
            "postal_code": "134921550",
            "telephone_number": "315-736-3217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8010 NY-12",
            "address_purpose": "LOCATION",
            "city": "Barneveld",
            "state": "NY",
            "postal_code": "13304",
            "country_code": "US",
            "telephone_number": "315-896-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADAS",
        "first_name": "BENJAMIN",
        "middle_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared D Smaldon, PT
• Susan Spina, CSW-R
• Jianye Teng, MD
• Mia Hope Townsend, LMSW
• Trisha Vanslyke-Pasco, NP
• Kimberly Wadas
• Matthew J Wadas, O.D.
• Walgreen Co
• Michael James Weiler, PTA
• Whitestown Dental Care PC

• Optometrist in Whitesboro, NY
• Providers in Whitesboro, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.

Verify at the official NPI Registry.