Active NPI
Carol Weber III
- Optometrist
- Hicksville, NY
National Provider Identifier
1154530152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T004421
- Practice address
- 232 W Old Country Rd
Hicksville, NY 11801-4011 - Phone
- (516) 681-3110
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T004421 | NY | Primary |
Addresses
Primary practice location
232 W Old Country Rd
Hicksville, NY 11801-4011
Mailing address
232 W Old Country Rd
Hicksville, NY 11801-4011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T004421 | NY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154530152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 W OLD COUNTRY RD",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118014011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 W OLD COUNTRY RD",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118014011",
"telephone_number": "516-681-3110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER",
"first_name": "CAROL",
"name_suffix": "III",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "T004421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hicksville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.