Active NPI
Steven Weifenbach, OD
- Optometrist
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2562
- Practice address
- 8180 S Tryon St
Charlotte, NC 28273-3325 - Phone
- (704) 588-9209
- NPI assigned
- Jul 30, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2562 | NC | Primary |
| Optometrist | 152W00000X | 3399 | TN |
Addresses
Primary practice location
8180 S Tryon St
Charlotte, NC 28273-3325
Mailing address
1105 Millbridge Rd
Belmont, NC 28012-2459
Phone (336) 749-4444
Other practice location 1
655 7th St
Robins AFB, GA 31098-2227
Phone (980) 288-5398
Other practice location 2
7735 N Tryon St
Charlotte, NC 28262-3498
Phone (704) 547-0305
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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
- New England College of Optometry, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8180 S Tryon St
Charlotte, NC 28273-3325
Phone (704) 588-9219
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2562 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 3399 | TN | MD | Pediatric Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ryan Leblanc OD PLLC | Optometrist | Current | Accepting new patients |
Locations
8180 S Tryon St
Charlotte, NC 28273
Phone (704) 588-9219
7735 N Tryon St
Charlotte, NC 28262
Phone (704) 547-0305
3000 E Franklin Blvd
Gastonia, NC 28056
Phone (704) 866-9599
Organizations & group practices 1
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.
-
- Optometrist
- Charlotte, NC
- NPI 1992055966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1124542345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 MILLBRIDGE RD",
"city": "BELMONT",
"state": "NC",
"postal_code": "280122459",
"telephone_number": "336-749-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8180 S TRYON ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282733325",
"telephone_number": "704-588-9209"
}
],
"practiceLocations": [
{
"address_1": "655 7th St",
"address_purpose": "LOCATION",
"city": "Robins AFB",
"state": "GA",
"postal_code": "310982227",
"country_code": "US",
"telephone_number": "980-288-5398",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7735 N Tryon St",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282623498",
"country_code": "US",
"telephone_number": "704-547-0305",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEIFENBACH",
"first_name": "STEVEN",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-30",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "2562",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "3399",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.