JAMES WIEDENFELD (NPI# 1356793756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356793756 |
| Entity Type | Individual |
| Full Name | JAMES WIEDENFELD |
| Credential | O.D. |
| Practice Address |
905 S John Redditt Dr Lufkin TX 75904-4326 |
| Practice Telephone | 9366344913 |
| Practice Fax Number | 9366377811 |
| Mailing Telephone | 9366344913 |
| Mailing Fax Number | 9366377811 |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2016-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 9031T | TX | Eye and Vision Services Providers |
| Street Address |
905 S JOHN REDDITT DR |
| City | LUFKIN |
| State | TX |
| Zip Code | 75904-4326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801817689 | Mark Edward Wiedenfeld | Optometrist | 905 S John Redditt Dr, Lufkin, TX 75904-4326 | 2006-07-21 |
| 1346333036 | Broughton Enterprises Inc | Eyewear Supplier (Equipment, not the service) | 905 S John Redditt Dr, Lufkin, TX 75904-4326 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759750 | David Kent Emmerling | Pharmacist | Walmart Pharmacy 10-0140, 2500 Daniel Mccall Drive, Lufkin, TX 75904 | 2020-10-27 |
| 1831732718 | Isaac Kwame Agyare | Pharmacist | 1522 West Frank Ave. Room 127, Lufkin, TX 75904 | 2019-10-23 |
| 1598314999 | Eva Faye Mcduffie | Technician | 1006 Sherwood Rd., Lufkin, TX 75904 | 2019-09-09 |
| 1477036119 | Tyra Williams | Occupational Therapy Assistant | 902 Hill Street, Lufkin, TX 75904 | 2018-09-10 |
| 1720560188 | Veronica Monique Kennedy | Pharmacist | 1522 West Frank, Lufkin, TX 75904 | 2018-09-02 |
| 1356821532 | Mark Anthony Plowman | Licensed Vocational Nurse | 379 Copperfield Loop, Lufkin, TX 75904 | 2018-08-17 |
| 1396222311 | Kevin Pulikottil Cherian | Occupational Therapist | 402 S John Redditt Dr., Lufkin, TX 75904 | 2018-07-23 |
| 1922593029 | Sarah Marie Stuart | Dentist | 103 N Brentwood Dr, Unit 400, Lufkin, TX 75904 | 2018-06-30 |
| 1083104004 | Pam Specialty Hospital of Lufkin, LLC | Long Term Care Hospital | 1201 W Frank Ave Ste D5, Lufkin, TX 75904 | 2018-05-15 |
| 1124523840 | Jane C Davidson | Nurse Practitioner | 1 Medical Center Blvd Ste C, Lufkin, TX 75904 | 2018-03-26 |
| Find all providers in zip 75904 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801817689 | Mark Edward Wiedenfeld | Optometrist | 905 S John Redditt Dr, Lufkin, TX 75904-4326 | 2006-07-21 |
| 1376532903 | Keith B Hancock | Optometrist | 2801 S John Redditt Dr, Lufkin, TX 75904-5666 | 2005-10-17 |
| 1891251799 | Caleb Robinson | Optometrist | 2801 S John Redditt Dr, Lufkin, TX 75904-5666 | 2019-02-15 |
| 1477934206 | Aron Hughes | Optometrist | 2801 S John Redditt Dr, Lufkin, TX 75904-5666 | 2015-06-17 |
| 1871846634 | Jennifer Nguyen Doan | Optometrist | 2206 N John Redditt Dr, Lufkin, TX 75904-1776 | 2012-10-17 |
| 1700166766 | Bryan G Pauls | Optometrist | 2 Medical Center Blvd, Lufkin, TX 75904-3173 | 2011-08-23 |
| 1619192192 | William W Wagnon Md Pa | Optometrist | 2801 S John Redditt Dr, Suite B, Lufkin, TX 75904-5666 | 2007-04-17 |
| 1124182498 | Carmon L Lampley-roberts | Optometrist | 2 Medical Center Blvd, Lufkin, TX 75904-3173 | 2006-12-21 |
| 1508940198 | Sam J Charendoff | Optometrist | 2500 Daniel Mccall Dr, Lufkin, TX 75904 | 2006-10-24 |
| 1053494245 | The Center for Sight, Pa | Optometrist | 2 Medical Center Blvd, Lufkin, TX 75904-3173 | 2006-10-23 |
| Find all providers in LUFKIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.