DR. JAMES LARS JR. WELLINGTON (O.D.) – Optometrist, NPI 1104938547

DR. JAMES LARS JR. WELLINGTON (O.D.) is a healthcare provider. based in Goshen, Indiana. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 18002859 (IN). The NPI Number for DR. JAMES LARS JR. WELLINGTON (O.D.) is 1104938547

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMES LARS JR. WELLINGTON (O.D.)
NPI
1104938547
Phone
(574) 533-7345
Address
116 W WASHINGTON ST
Enumeration Date
31 August 2006
Last Update Date
28 July 2010

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
5745337345
Graduation Year
1997 (29 years ago)
PAC ID
7315058104
Group Practice PAC ID
8022096676
Professional Enrollment ID
I20101030000183
Address ID
IN465263729GO116XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,126 OPTOMETRY in IN

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Provider Addresses for DR. JAMES LARS JR. WELLINGTON (O.D.)

  • 116, West Washington Street, East Lincoln Crossroads, Goshen, Elkhart County, Indiana, 46526, United States

    GOSHEN, IN 465263729

    Phone: (574) 533-7345

    Fax: (574) 533-5683

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-10-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101030000183IOptometryINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system127127$0
92250Photography of the retina7373$0
99212Established patient office or other outpatient visit, 10-19 minutes3227$0
92004New patient complete exam of visual system2323$0
View full utilization report →

Insurance plans in this area (ZIP 46526)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022096676View full group profile
NameSpecialtyState
O P T O M E T R YIN

Reviews

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Frequently asked questions

Does DR. JAMES LARS JR. WELLINGTON (O.D.) have a public NPI I can cite?
Public records show DR. JAMES LARS JR. WELLINGTON (O.D.) under NPI 1104938547.
Is DR. JAMES LARS JR. WELLINGTON (O.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. JAMES LARS JR. WELLINGTON (O.D.) as active.
How should patients interpret DR. JAMES LARS JR. WELLINGTON (O.D.)'s specialty?
The extract shows Optometrist for DR. JAMES LARS JR. WELLINGTON (O.D.). Clinical services aligned with this taxonomy classification.
Is DR. JAMES LARS JR. WELLINGTON (O.D.) tied to Goshen, Indiana?
If you are local to Goshen, Indiana, DR. JAMES LARS JR. WELLINGTON (O.D.) may be relevant to your search.
Who maintains DR. JAMES LARS JR. WELLINGTON (O.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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