Organization Active NPI

Douglas R. Weberling O.D. PC

  • Optometrist
  • Bristol, VA
National Provider Identifier
1164561908
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000247 Issued in VA
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

Updated by the provider on Mar 24, 2009

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
009203711MedicaidVA

Other names 1

  • Weberling & Associates Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.