WESLEY CHARLTON OD
NPI 1174744155
Optometrist in Bethel, AK
About Wesley Charlton Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WESLEY CHARLTON OD (NPI 1174744155) is an individual optometrist in Bethel, Alaska, licensed in Guam (OL-046) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wesley Charlton Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Wesley Charlton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tamuning, GU 96913
- Reassigned Medicare billing, Hawaii enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 99559 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Wesley Charlton's NPI number?
The NPI number for Wesley Charlton is 1174744155. It was assigned to this individual provider in the NPPES registry on May 1, 2007.
Where is Wesley Charlton located?
Wesley Charlton practices at 829 Chief Eddie Hoffman Highway, Bethel, AK 99559. The listed phone number is (907) 543-6300.
What is Wesley Charlton's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Wesley Charlton enrolled in Medicare?
Yes. Wesley Charlton is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Wesley Charlton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Wesley Charlton reassigns Medicare benefits to (Tamuning, GU). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wesley Charlton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Wesley Charlton was last updated on June 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Wesley Charlton, OD · NPI 1174744155
Optometrist provider in Bethel, Alaska. Individual provider, active in the CMS NPPES registry since May 1, 2007.
## Identity
- **NPI:** 1174744155 (Entity type: Individual)
- **Enumerated:** May 1, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OL-046 (GU)
- **Sole proprietor:** No
## Practice location
- **Address:** 829 CHIEF EDDIE HOFFMAN HIGHWAY, Bethel, AK 99559
- **Phone:** (907) 543-6300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** (NPI 1659458248, Tamuning, GU), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 9, 2017
- **Other identifiers:** Medicaid OD11233 (AK)
---
Source: [NPI Profile](https://npiprofile.com/npi/1174744155) · Data from the CMS NPPES public registry.