Organization Active NPI

Weber West Eye Care, PSC

  • Optometrist
  • Ashland, KY
National Provider Identifier
1013462134
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2020DT Issued in KY
Legal business name
WEBER WEST EYE CARE, PSC
Practice address
2119 Carter Ave
Ashland, KY 41101-7733
Phone
(606) 329-2243
Fax
(606) 324-2395
NPI assigned
Aug 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Nick Weber, O.D.
Title
Owner
Phone
(606) 329-2243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 2020DT KY Primary

Addresses

Primary practice location

2119 Carter Ave
Ashland, KY 41101-7733

Mailing address

2119 Carter Ave
Ashland, KY 41101-7733
Phone (606) 329-2243

Other names 1

  • Mecca Eye Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170224001044 KY Part B Supplier - Clinic/Group Practice 6507140225 Receives reassigned benefits from 3 practitioners
Practice locations: Ashland, KY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482796800000",
    "number": "1013462134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 CARTER AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017733",
            "telephone_number": "606-329-2243",
            "fax_number": "606-324-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 CARTER AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017733",
            "telephone_number": "606-329-2243",
            "fax_number": "606-324-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBER WEST EYE CARE, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-12-27",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-329-2243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2020DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mecca Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.