Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Dalton Wentz, OD

Individual provider Community Health Worker · NPI 1477130821

Dr. Dalton Wentz, OD is an Optometry in Charleston, West Virginia. Graduated from Indiana University - School of Optometry in 2024, 2 years ago. Practices with S Glenn Bailey OD Inc, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
2
Trained at
Indiana University - School of Optometry
Licensed in
WV
In the registry since
2021
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

4202 Maccorkle Ave SE
Charleston, WV 25304-2502
Phone: (304) 925-4761
Fax: (304) 925-0310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 97 Cherry Ln, Kenna, WV 25248-7631 — (304) 941-7614

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3039-IOD (WV)
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1477130821
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedMarch 24, 2021
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolINDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduated 2024 (2 years in practice)
Group practice S Glenn Bailey Od Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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