Weis Eye Center

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

42784 Issued in MN

Legal business name

WEIS EYE CENTER

Practice address

4815 W Arrowhead Rd
Suite 120
Hermantown, MN 55811-4004

Phone

(218) 625-1917

NPI assigned

Jul 6, 2010

Organization subpart

No

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

Authorized official

Name

Jeffrey R Weis, M.D.NPI 1821183815

Title

Owner

Phone

(218) 625-1917

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Ross Weis, M.D.

  • Ophthalmology Physician
  • Hermantown, MN
  • NPI 1821183815
  Medicare reassignment NPD Authorized official
• Kayla Miller Bechthold, OD

  • Optometrist
  • Chisholm, MN
  • NPI 1811924772
  NPD (past)
• Gary L Jensen

  • Optometrist
  • Chisholm, MN
  • NPI 1770508426
  NPD (past)
• Chris T. Buntrock, M.D.

  • Ophthalmology Physician
  • Farmington, NM
  • NPI 1073531851
  NPD (past)

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1154633253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 W ARROWHEAD RD",
            "address_2": "SUITE 120",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558114004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 W ARROWHEAD RD",
            "address_2": "SUITE 120",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558114004",
            "telephone_number": "218-625-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIS EYE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "WEIS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-625-1917",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "MN",
            "license": "42784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emilyn Jewel Walters
• Amanda Wangsness
• Sarah Ward, M. ED., BCBA
• Hailey Ruth Webber
• Nicole Weber
• Jeffrey Ross Weis, M.D.
• Corrie Marie Weise
• Jessica Wellnitz
• Welsh Adult Foster Care
• Abbie Wethern-Edman

• Ophthalmologic Surgery Clinic/Center in Hermantown, MN
• Providers in Hermantown, MN by specialty
• Ophthalmologic Surgery Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.