THOMAS JOSEPH WIEGAND (NPI# 1396748703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396748703 |
| Entity Type | Individual |
| Full Name | THOMAS JOSEPH WIEGAND |
| Credential | O.D. |
| Practice Address |
712 Cameron Woods Dr Angola IN 46703 |
| Mailing Address |
Po Box 549 Wabash IN 46992-0549 |
| Practice Telephone | 2606683937 |
| Practice Fax Number | 2606683794 |
| Mailing Telephone | 2605699550 |
| Mailing Fax Number | 2605690760 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2018-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 18001620 | IN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100152890 | 05 | |
| IN | ANTHEM BCBS | 000000092387 | 01 |
| Street Address |
712 CAMERON WOODS DR |
| City | ANGOLA |
| State | IN |
| Zip Code | 46703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073516753 | Grey Preston Baals | Optometrist | 712 Cameron Woods Dr, Angola, IN 46703 | 2005-05-24 |
| 1316908544 | Midwest Eye Consultants, P.C. | Optometrist | 712 Cameron Woods Dr, Angola, IN 46703-8816 | 2006-03-29 |
| 1225025125 | Doug M. Norrick | Optometrist | 712 Cameron Woods Dr, Angola, IN 46703 | 2005-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629617097 | Carolyn Yvonne Davis | Registered Nurse | 909b South Darling Street, Angola, IN 46703 | 2020-01-02 |
| 1588144760 | Travis William Simmons | Chiropractor | 1220 N 200 W, Angola, IN 46703 | 2018-08-17 |
| 1386025427 | Jessica Conrad | Physical Therapist | 1913 North Wayne St, Suite D, Angola, IN 46703 | 2015-06-15 |
| 1578977385 | Amber Joy Richards | Counselor | 200 Hoosier Dr. Suite E, Angola, IN 46703 | 2014-06-19 |
| 1972874667 | Amanda Louise Traxler | Specialist/Technologist | 350 S John Mcbride Ave, Angola, IN 46703 | 2012-01-26 |
| 1659656155 | Kelly Balyeat | Pharmacist | 2012 North Wayne Street, Angola, IN 46703 | 2011-10-15 |
| 1689843930 | Erin Nicole Culler | Pharmacist | 2290 North Wayne Street, Angola, IN 46703 | 2008-02-20 |
| 1235319963 | J Andrew Stoner | Counselor | 430 N Wayne St, Suite 201, Angola, IN 46703 | 2007-11-09 |
| 1760537658 | Margaret Jean Schreiber | Nurse Practitioner | 103 Intertech Parkway, Suite A, Angola, IN 46703 | 2007-01-24 |
| 1922163120 | Tamara Lynn Watkins | Dentist | 101 N. Terrace Blvd., Angola, IN 46703 | 2006-12-27 |
| Find all providers in zip 46703 | ||||
| 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 |
|---|---|---|---|---|
| 1821382714 | Holicki Optical Inc | Optometrist | 1202 N Wayne St, Angola, IN 46703-2343 | 2011-06-08 |
| 1336281815 | Keith O Dunlap | Optometrist | 204 S Wayne St, Angola, IN 46703-1937 | 2007-02-13 |
| 1144387986 | Rx Optical Laboratories, Inc. | Optometrist | 1400 N Wayne St Ste D, Angola, IN 46703-2359 | 2007-01-02 |
| 1710963152 | Drs. Baals and Wiegand Family Eye Care P.C. | Optometrist | 240 Hoosier Dr, Angola, IN 46703-9314 | 2005-12-19 |
| 1568443182 | Brian Patrick Magwire | Optometrist | 407 W Maumee St, Angola, IN 46703-1428 | 2005-11-10 |
| 1073516753 | Grey Preston Baals | Optometrist | 712 Cameron Woods Dr, Angola, IN 46703 | 2005-05-24 |
| 1669717955 | Visionary Inc | Optometrist | 204 S Wayne St, Angola, IN 46703-1937 | 2012-11-28 |
| 1871857417 | Midwest Eye Consultants, P.C. | Optometrist | 240 Hoosier Dr, Angola, IN 46703-9314 | 2012-06-28 |
| 1316908544 | Midwest Eye Consultants, P.C. | Optometrist | 712 Cameron Woods Dr, Angola, IN 46703-8816 | 2006-03-29 |
| 1225025125 | Doug M. Norrick | Optometrist | 712 Cameron Woods Dr, Angola, IN 46703 | 2005-10-05 |
| Find all providers in ANGOLA | ||||
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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.