Gina Marie Wesley, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3061 Issued in MN

Practice address

922 Highway 55 Ste 300
Medina, MN 55340-9771

Phone

(763) 478-3505

Fax

(763) 478-2727

NPI assigned

Jul 8, 2006

Sex

Female

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 MN

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

Ohio State University - College of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Complete Eye Care of MedinaGroup PAC ID 5991889511, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Complete Eye Care of Medina

  • Optometrist
  • Medina, MN
  • NPI 1477737088

  MN, Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• Maple Grove Vision Clinic, P.a.

  • Optometrist
  • Maple Grove, MN
  • NPI 1366472342
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1992738652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 HIGHWAY 55 STE 300",
            "city": "MEDINA",
            "state": "MN",
            "postal_code": "553409771",
            "telephone_number": "763-478-3505",
            "fax_number": "763-478-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 HIGHWAY 55 STE 300",
            "city": "MEDINA",
            "state": "MN",
            "postal_code": "553409771",
            "telephone_number": "763-478-3505",
            "fax_number": "763-478-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESLEY",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Pressley, RT (R)
• Prlfc Care,LLC
• Adam Joel Sperl, DDS, MS
• Strengths in Motion LLC
• Emily Sullivan
• Brittany Nicole West, OTR/L

• All providers in Medina, MN
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.