Individual provider Active NPI

Katherine Weise, O.D.

  • Optometrist
  • Birmingham, AL
National Provider Identifier
1144230517
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SA33TA287 Issued in AL
Practice address
1716 University Blvd
HPB G080A
Birmingham, AL 35294-0010
Phone
(205) 975-2020
Fax
(205) 934-6755
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X SA33TA287 AL Primary

Addresses

Primary practice location

1716 University Blvd
HPB G080A
Birmingham, AL 35294-0010

Mailing address

1716 University Blvd
HPB G080A
Birmingham, AL 35294-0010
Phone (205) 975-2020

Other identifiers 6

IdentifierTypeStateIssuer
51035147OtherALBCBS OF ALABAMA
U57411OtherALVIVA
41002840OtherMEDICARE RAILROAD
51035887OtherALBCBS
000035887MedicaidAL
04500362MedicaidMS

Other names 1

  • Dr. Katherine Niemann Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20040311000940 AL Practitioner - Optometry 0941199640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1716 University Blvd
Birmingham, AL 35233-1816
Phone (205) 934-3899

1720 University Blvd
Birmingham, AL 35233-1816
Phone (205) 731-9050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SA33TA287ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Alabama at Birmingham Optometrist CurrentSince Jul 5, 1997 Accepting new patients
University of Alabama at Birmingham Current Accepting new patients
University of Alabama at Birmingham CurrentSince Jul 5, 1997 Accepting new patients
University of Alabama at Birmingham Past Accepting new patients

Locations

1716 University Blvd
#G80A
Birmingham, AL 35233
Phone (205) 934-4748

1716 University Blvd
Birmingham, AL 35294

1720 University Blvd
Ste 300
Birmingham, AL 35233

1716 University Blvd
Birmingham, AL 35233
Phone (205) 934-3899

1716 University Blvd
#80A
Birmingham, AL 35233

1701 9th Ave S
Birmingham, AL 35205
Phone (205) 934-5161

Organizations & group practices 4

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354233600000",
    "number": "1144230517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 UNIVERSITY BLVD",
            "address_2": "HPB G080A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352940010",
            "telephone_number": "205-975-2020",
            "fax_number": "205-934-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 UNIVERSITY BLVD",
            "address_2": "HPB G080A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352940010",
            "telephone_number": "205-975-2020",
            "fax_number": "205-934-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISE",
        "first_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2012-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "SA33TA287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "51035147",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIVA",
            "identifier": "U57411",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "41002840",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51035887",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000035887",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04500362",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "NIEMANN",
            "prefix": "DR.",
            "credential": "OD.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.