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DR. JAMES LARS WELLINGTON JR. O.D.
NPI 1104938547
Optometrist in Goshen, IN

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
116 W WASHINGTON ST, GOSHEN, IN 46526(574) 533-7345(574) 533-5683 Get Directions Write a Review

NPPES record last updated: July 28, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James Lars Wellington Jr. O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAMES LARS WELLINGTON JR. O.D. (NPI 1104938547) is an individual optometrist in Goshen, Indiana, licensed in Indiana (18002859) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (1997).

NPPES Registry Identity

NPI1104938547
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JAMES LARS WELLINGTON JR.Credential: O.D.
Location Address116 W WASHINGTON STGoshen, IN 46526-3729
Mailing Address116 W Washington StGoshen, IN 46526-3729 · (574) 533-7345 · Fax (574) 533-5683
Phone(574) 533-7345
Fax(574) 533-5683
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 1997
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 28, 2010
✔ NPI 1104938547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IN · 18002859
Definition
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.
116 W WASHINGTON ST, Goshen, IN 46526
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Other Identifiers 3

Medicare UPINU65769IN
Medicare ID-Type Unspecified229260CIN
Medicaid200126500AIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James Lars Wellington Jr. O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315058104
PECOS Enrollment IDI20101030000183
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
127 services127 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
65 services65 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
20 services17 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46526 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WELLINGTON AND WEDDELL EYE CARE, PC
Optometrist
116 W WASHINGTON ST
GOSHEN, IN 46526
Elkhart County (574) 533-7345
DR. BRETT FREDERICK WEDDELL O.D.
Optometrist
116 W WASHINGTON ST
GOSHEN, IN 46526
Elkhart County (574) 533-7345
DR. TERESA KRISTINE MCGUIRE O.D.
Optometrist
116 W WASHINGTON ST
GOSHEN, IN 46526
Elkhart County (574) 533-7345
KYAW NAING OD
Optometrist
116 W WASHINGTON ST
GOSHEN, IN 46526
Elkhart County (574) 533-7345

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Wellington's NPI number?

The NPI number for James Wellington is 1104938547. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is James Wellington located?

James Wellington practices at 116 W Washington St, Goshen, IN 46526. The listed phone number is (574) 533-7345.

What is James Wellington's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is James Wellington enrolled in Medicare?

Yes. James Wellington is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does James Wellington accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Providence Health Plan list James Wellington as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Wellington was last updated on July 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.