Gary M Weiner, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TV 2918 Issued in NY

Practice address

969 Main St
Suite H
Fishkill, NY 12524-1789

Phone

(845) 896-6700

Fax

(845) 896-6882

NPI assigned

Aug 25, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 10

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Dutchess Eyecare, LLPGroup PAC ID 7416846480, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Southern Dutchess Eyecare, LLP

  • Optometrist
  • Fishkill, NY
  • NPI 1063420388
  Medicare reassignment Care Compare group NPD
• Lederman and Lederman LLP

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Purchase, NY
  • NPI 1437100682
  NPD (past)

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1134112030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 MAIN ST",
            "address_2": "SUITE H",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125241789",
            "telephone_number": "845-896-6700",
            "fax_number": "845-896-6882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 MAIN ST",
            "address_2": "SUITE H",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125241789",
            "telephone_number": "845-896-6700",
            "fax_number": "845-896-6882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINER",
        "first_name": "GARY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TV 2918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "C D P H P",
            "identifier": "10038543",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNOW OF NY",
            "identifier": "0000470751001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RR MEDICARE",
            "identifier": "410033090",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH INS.",
            "identifier": "P835138",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET OF NY",
            "identifier": "4C1784",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH INSURANCE",
            "identifier": "539306",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M V P HEALTH PLAN",
            "identifier": "597117",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTH THE EMPIRE P",
            "identifier": "161526023",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "POMCO",
            "identifier": "161526023",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE B/C B/S",
            "identifier": "C951010",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wappingers Central Schools
• Matthew Lloyd Warner, PSY.D.
• Melissa Cherie Webb, CCC SLP
• Claire Elizabeth Weche, AGPCNP-BC
• Stuart Charles Weinberger, MD
• Jennifer Weisberger
• Susan Weisel, MD
• Michael A. Westerman, PHD
• Jayde Taylor Whelan
• Forrest Nelson White, M.D.

• Optometrist in Fishkill, NY
• Providers in Fishkill, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.