Active NPI
Ronald S Weber, M.D.
- Ophthalmology Physician
- Morrow, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 038125
- Practice address
- 1000 Corporate Center Dr
Suite 100
Morrow, GA 30260-4180 - Phone
- (770) 968-8888
- Fax
- (770) 960-2473
- NPI assigned
- Jun 30, 2005
- Last updated
- Aug 13, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 038125 | GA | Primary |
Addresses
Primary practice location
1000 Corporate Center Dr
Suite 100
Morrow, GA 30260-4180
Mailing address
1000 Corporate Center Dr
Suite 100
Morrow, GA 30260-4180
Phone (770) 968-8888
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5080141 | Other | GA | AETNA |
| 52650070 013 | Other | GA | BCBS |
| 000724292I | Medicaid | GA | |
| 202226 | Other | GA | COVENTRY HMO |
| 11898 | Other | GA | COVENTRY PPO |
| 0816347 | Other | GA | UHC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038125 | GA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nassar Enterprises,LLC | Ophthalmology | Current | Accepting new patients |
| Jay S. Berger, M.D., P.C. | Past | Accepting new patients | |
| Clear Vision Optical Inc | Past | Accepting new patients | |
| Altru Health System | Past | Accepting new patients |
Locations
777 Cleveland Ave SW
Ste 616
Atlanta, GA 30315
Phone (404) 766-6268
6524 Professional Pl
Riverdale, GA 30274
Phone (770) 994-4060
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250121600000",
"number": "1174520670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 CORPORATE CENTER DR",
"address_2": "SUITE 100",
"city": "MORROW",
"state": "GA",
"postal_code": "302604180",
"telephone_number": "770-968-8888",
"fax_number": "770-960-2473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 CORPORATE CENTER DR",
"address_2": "SUITE 100",
"city": "MORROW",
"state": "GA",
"postal_code": "302604180",
"telephone_number": "770-968-8888",
"fax_number": "770-960-2473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER",
"first_name": "RONALD",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2009-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "GA",
"license": "038125",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5080141",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "52650070 013",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000724292I",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY HMO",
"identifier": "202226",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY PPO",
"identifier": "11898",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "0816347",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morrow, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.