Rebecca Sue Weisbeck, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3462 Issued in MN

Practice address

1250 Goemann Rd
Fairmont, MN 56031-4659

Phone

(507) 235-2523

Fax

(507) 235-2525

NPI assigned

Aug 7, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Rebecca Sue Steckel Former name

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Indiana University - School of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vision Pro II IncGroup PAC ID 4880599034, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vision Pro II Inc

  • Optometrist
  • Duluth, MN
  • NPI 1982756789
  Medicare reassignment Care Compare group NPD
• Vision Pro II, Inc

  • Optometrist
  • Duluth, MN
  • NPI 1215312459
  NPD (past)
• Shoptikal LLC

  dba Shopko Optical 4066

  • Eyewear Supplier
  • Spokane, WA
  • NPI 1154987535

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1104057116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 GOEMANN RD",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560314659",
            "telephone_number": "507-235-2523",
            "fax_number": "507-235-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 GOEMANN RD",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560314659",
            "telephone_number": "507-235-2523",
            "fax_number": "507-235-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISBECK",
        "first_name": "REBECCA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-07",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1334",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025779000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "STECKEL",
            "middle_name": "SUE",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Walgreen Co (Walgreens #09350)
• Walmart Inc. (Walmart Pharmacy 10-3806)
• Jacob Weaver, PHARM D
• Taylor Marie Weerts, DT
• Amy Wehner
• Blasi Ann Whitehead
• Adria N Whiting, APRN
• Mark A Wikenheiser, M.D.
• Windom Area Hospital (Windom Area Health)
• Mark Wolverton, MD

• Optometrist in Fairmont, MN
• Providers in Fairmont, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.

Verify at the official NPI Registry.