Active NPI
Jeffrey Weissman, O.D.
- Optometrist
- Henrietta, NY
National Provider Identifier
1003963190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- VUT005155-1
- Practice address
- 2824 E Henrietta Rd
Henrietta, NY 14467-9322 - Phone
- (585) 334-7262
- NPI assigned
- Jan 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | VUT005155-1 | NY | Primary |
Addresses
Primary practice location
2824 E Henrietta Rd
Henrietta, NY 14467-9322
Mailing address
2824 E Henrietta Rd
Henrietta, NY 14467-9322
Phone (585) 334-7262
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5833511 | Other | NY | AETNA |
| P010005155 | Other | NY | EXCELLUS |
| P010005155 | Other | NY | VIA HEALTH |
| P010005155 | Other | NY | BLUE CROSS |
| 100173CS | Other | NY | PREFERRED CARE |
| P010005155 | Medicaid | NY | |
| P010005155 | Other | NY | BLUE CHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 1990
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2824 E Henrietta Rd
Henrietta, NY 14467-9322
Phone (585) 334-7262
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VUT005155-1 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients |
Locations
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
Interoperability endpoints
- jweissman83524@direct.rochesterregional.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- Family Medicine Physician
- Rochester, NY
- NPI 1174990303
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268179200000",
"number": "1003963190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2824 E HENRIETTA RD",
"city": "HENRIETTA",
"state": "NY",
"postal_code": "144679322",
"telephone_number": "585-334-7262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2824 E HENRIETTA RD",
"city": "HENRIETTA",
"state": "NY",
"postal_code": "144679322",
"telephone_number": "585-334-7262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISSMAN",
"first_name": "JEFFREY",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2010-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "VUT005155-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5833511",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS",
"identifier": "P010005155",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIA HEALTH",
"identifier": "P010005155",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "P010005155",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "100173CS",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P010005155",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "P010005155",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henrietta, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.