Individual provider Active NPI

Ronald S Weber, M.D.

  • Ophthalmology Physician
  • Morrow, GA
National Provider Identifier
1174520670
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
038125 Issued in GA
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, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5080141OtherGAAETNA
52650070 013OtherGABCBS
000724292IMedicaidGA
202226OtherGACOVENTRY HMO
11898OtherGACOVENTRY PPO
0816347OtherGAUHC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040407000779 GA Practitioner - Ophthalmology 5294728523 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
038125GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nassar Enterprises,LLC Ophthalmology CurrentSince May 9, 2022 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.

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

Verify at the official NPI Registry.