Individual provider Active NPI

Marion D Weston, OD

  • Optometrist
  • Neosho, MO
National Provider Identifier
1124060629
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T02157 Issued in MO
Practice address
104 W Spring St
Neosho, MO 64850-1720
Phone
(417) 451-0400
Fax
(417) 781-9814
NPI assigned
Jun 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T02157 MO Primary

Addresses

Primary practice location

104 W Spring St
Neosho, MO 64850-1720

Mailing address

1531 W 32ND St
Ste 102
Joplin, MO 64804-1611
Phone (417) 781-3630

Other practice location 1

1531 W 32nd St
Ste 102
Joplin, MO 64804-1611
Phone (417) 781-3630 ext. 113

Other identifiers 2

IdentifierTypeStateIssuer
202889648MedicaidMO
111979OtherMOBC/BS

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20091218000355 MO Practitioner - Optometry 4789724956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.96 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
76.53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T02157MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
John a. Yuhas, M.D., P.C. CurrentSince Sep 1, 1999 Accepting new patients
John a. Yuhas, M.D., P.C. Optometrist CurrentSince Sep 1, 1999 Accepting new patients

Locations

1531 W 32nd St
Ste 102
Joplin, MO 64804
Phone (417) 781-3630

104 W Spring St
Neosho, MO 64850
Phone (417) 451-0400

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1124060629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 W 32ND ST",
            "address_2": "STE 102",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041611",
            "telephone_number": "417-781-3630",
            "fax_number": "417-624-9704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W SPRING ST",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648501720",
            "telephone_number": "417-451-0400",
            "fax_number": "417-781-9814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1531 W 32nd St",
            "address_2": "STE 102",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648041611",
            "country_code": "US",
            "telephone_number": "417-781-3630 x113",
            "fax_number": "417-624-9704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESTON",
        "first_name": "MARION",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202889648",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "111979",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neosho, MO

Sources for this page

Verify at the official NPI Registry.