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Deactivated NPI 1376541714 Deactivated / Inactive NPI Male Practitioner

Dr. Paul W Wilken , OD

Optometrist • Celina, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Paul Wilken has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 11, 2005
NPI Deactivation Date March 16, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Paul Wilken, OD was a registered Optometrist practicing in Celina, OH. Throughout an active medical career spanning 1 years, Dr. Wilken provided care at the practice location at 119 SUMMIT ST until profile deactivation on 2006-03-16.

Historical Medicare Part B clinical services included established patient complete exam of visual system, photography of the retina, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

119 Summit St

Celina, OH 458221023

Telephone 4195865149
Fax 4195863122
Associated Practice Facility / Clinic
🏢 Lifetime Vision Care Facility NPI 1871733535

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Celina, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.6 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
15 Specialists

Practicing in Celina, OH (2535 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
25.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
60 60 $133.20 $119.13
92250 Photography of the retina
34 33 $84.71 $35.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
19 18 $62.37 $53.60

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OH 3317

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0496897 (OH)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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Updated Practice Location January 10, 2012

Registered at 119 SUMMIT ST, CELINA, OH 458221023 (Tel: 4195865149)

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Updated Business Mailing Address January 10, 2012

Registered at 119 SUMMIT ST, CELINA, OH 458221023 (Tel: 4195865149)

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Provider Name / Credentials Updated January 10, 2012

Recorded as PAUL WILKEN, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2012

Optometrist (License #3317 in OH)

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NPI Profile Reactivated March 22, 2006

Record officially reactivated for active practice on March 22, 2006

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NPI Profile Deactivated March 16, 2006

Record deactivated on March 16, 2006

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Initial NPI Registration & Enumeration July 11, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376541714
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2005
Last Update: January 10, 2012
Deactivation Date: March 16, 2006
Sole Proprietor: Yes

Mailing Address

119 Summit St

Celina, OH 458221023

Phone: 4195865149

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.