Active NPI
Douglas R. Weberling O.D. PC
- Optometrist
- Bristol, VA
National Provider Identifier
1164561908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618000247
- Legal business name
- DOUGLAS R. WEBERLING O.D. PC
- Practice address
- 1701 Euclid Ave
Suite D
Bristol, VA 24201-3700 - Phone
- (276) 466-4227
- NPI assigned
- Feb 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Douglas Richard Weberling, O.D.
- Title
- Optometrist
- Phone
- (276) 466-4227
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618000247 | VA | Primary |
Addresses
Primary practice location
1701 Euclid Ave
Suite D
Bristol, VA 24201-3700
Mailing address
1701 Euclid Ave
Suite D
Bristol, VA 24201-3700
Phone (276) 466-4227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009203711 | Medicaid | VA |
Other names 1
- Weberling & Associates
National Provider Directory
National Provider DirectoryLocations
1701 Euclid Ave
Bristol, VA 24201
Phone (276) 466-4227
137 Plaza Rd
Wise, VA 24293
Phone (276) 679-5612
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Bristol, VA
- NPI 1770714537
-
- Optometrist
- Gate City, VA
- NPI 1770773707
-
- Optometrist
- Bristol, VA
- NPI 1861467763
-
- Optometrist
- Johnson City, TN
- NPI 1427360007
-
- Optometrist
- Augusta, GA
- NPI 1568685717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237852800000",
"number": "1164561908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 EUCLID AVE",
"address_2": "SUITE D",
"city": "BRISTOL",
"state": "VA",
"postal_code": "242013700",
"telephone_number": "276-466-4227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 EUCLID AVE",
"address_2": "SUITE D",
"city": "BRISTOL",
"state": "VA",
"postal_code": "242013700",
"telephone_number": "276-466-4227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOUGLAS R. WEBERLING O.D. PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2009-03-24",
"status": "A",
"authorized_official_last_name": "WEBERLING",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "RICHARD",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "276-466-4227",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "VA",
"license": "0618000247",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009203711",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Weberling & Associates",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Bristol, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.